Preregistration and Birth Certificate Forms
Before Week 28 of Your Pregnancy
For your convenience, the preregistration forms for all CentraCare sites are now available on MyChart. We encourage you to preregister for your delivery online. Click on MyChart > Menu > Register for My Delivery.
Check with your health plan about your pre-admission requirements, length of stay and other concerns.
If you are unable to complete this form online, there are printable versions you can mail in.
St. Cloud
ATTN: Admitting, St. Cloud Hospital, 1406 6th Avenue North, St. Cloud, MN 56303-9989.
- Preregistration and Birth Certificate form - English (PDF)
- Preregistration and Birth Certificate form - Spanish (PDF)
Long Prairie
CentraCare – Long Prairie, 20 Ninth Street Southeast, Long Prairie, MN 56347.
- Preregistration and Birth Certificate form - English (PDF)
- Preregistration and Birth Certificate form - Spanish (PDF)
Melrose
CentraCare ‐ Melrose, 525 Main Street West, Melrose, MN 56352.
- Preregistration and Birth Certificate form - English (PDF)
- Preregistration and Birth Certificate form - Spanish (PDF)
Sauk Centre
CentraCare – Sauk Centre, 425 Elm Street North, Sauk Centre, MN 56378.
- Preregistration and Birth Certificate form - English (PDF)
- Preregistration and Birth Certificate form - Spanish (PDF)
Paynesville
CentraCare – Paynesville, 200 West First Street, Paynesville, MN 56362.
