Oregon Home Birth Packet Request Form
Official state formOther requestsFree downloadLast verified November 10, 2026
Asks the Center for Health Statistics for the Home Birth Registration Packet, which has the blank Certificate of Live Birth and instructions. It is for a birth outside a facility without a licensed attendant, when the child is under one year old.
Who can use this form
- A parent of the child
- A person asking on behalf of the mother
- For a child under one year old born outside a facility without a licensed attendant
What to send with it
- The completed request form
- Send it by mail, drop box or email to CHS.Amendments@oha.oregon.gov
Where to send it
- Mail to
- CHS/Home Birth PO Box 14050 Portland, OR 97293
- State fee
- Not provided
- Typical processing
- The office's processing times page (updated 11/4/2026) lists 4 weeks for home birth registration.
- Form revision
- 04/2026
- Source
- Official government page