New Baby Registration

If you wish to register a new baby, please complete this form.

This form is only to be used for the first registration of a new baby, born to a mother already registered with us. For babies who have been registered elsewhere, please register as a new patient.

New Baby Registration

Baby Registration

Is this the first registration for this baby? *

Baby Details

Please use the format DD/MM/YYYY

If you are registering a child under 5

Child Surveillance:

Family Members

Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.