Ariz. Admin. Code § R9-19-201 - Information for a Birth Record

A. Except as provided in subsection (B) or R9-19-204(F) or (I), the information submitted for an individual's birth record includes the following:

1. Information for the individual's certificate of birth registration provided by the individual's mother or, if applicable, the individual's father or another family member who is of legal age:

a. The individual's name;

b. The following information about the individual's mother:

i. Name before first marriage;

ii. Date of birth;

iii. State, territory, or foreign country where the individual's mother was born; and

iv. Street address, apartment number if applicable, city or town, state, zip code, and county of the individual's mother's residence; and

c. If applicable according to A.R.S. § 36-334, the following information about the individual's father:

i. Name;

ii. Date of birth; and

iii. State, territory, or foreign country where the father was born;

2. Other information for the individual's birth record provided by the individual's mother or, if applicable, the individual's father or another family member who is of legal age:

a. The individual's mother's:

i. Current last name,

ii. Social Security Number,

iii. Race,

iv. Height, and

v. Pre-pregnancy weight;

b. Whether the individual's mother:

i. Is of Hispanic origin and, if so, the type of Hispanic origin;

ii. Received food from WIC for herself during the pregnancy;

iii. Was ever married; or

iv. Was married at any time in the ten months immediately preceding the individual's birth;

c. Whether the individual's mother's residence is:

i. Inside a city's limits, or

ii. In a tribal community;

d. The following information about the individual's mother:

i. The highest degree or level of education completed by the individual's mother at the time of the individual's birth;

ii. If the individual's mother's mailing address is different from the address in subsection (A)(1)(b)(iv), the individual's mother's mailing address; and

iii. Date the last normal menses began;

e. The individual's mother's history of:

i. Smoking before or during the pregnancy,

ii. Prenatal care for this pregnancy, and

iii. Previous pregnancies and pregnancy outcomes;

f. If applicable according to A.R.S. § 36-334, the following information about the individual's father:

i. Social Security Number;

ii. Race;

iii. Whether the father is of Hispanic origin and, if so, the type of Hispanic origin; and

iv. Highest degree or level of education completed by the father at the time of the individual's birth;

g. If the birth occurred at a residence and was not attended by a physician, registered nurse practitioner, nurse midwife, or midwife who is willing and able to request the registration of the individual's birth, the name of the person who assisted the birth and the person's relationship to the individual's mother; and

h. Whether a Social Security number has been requested for the individual;

3. Information for the individual's certificate of birth registration provided by the hospital where the individual was born or, if the individual was not born in a hospital, by the physician, registered nurse practitioner, nurse midwife, or midwife who attended the birth and is willing and able to provide the information:

a. The individual's sex;

b. The individual's date and time of birth;

c. The individual's plurality of delivery;

d. If the plurality of delivery involves more than one, the individual's order of birth;

e. If the individual was born in a hospital:

i. The name, type, and, if applicable, National Provider Identifier of the hospital where the birth occurred; and

ii. The city or town and county where the hospital is located;

f. If the birth occurred at a residence and was attended by a physician, registered nurse practitioner, nurse midwife, or midwife who is willing and able to provide the information:

i. The street address, city or town, and county where the residence is located; and

ii. Whether the birth was planned to occur at the residence; and

g. If the birth occurred at a facility other than a hospital or residence and was attended by a physician, registered nurse practitioner, nurse midwife, or midwife who is willing and able to provide the information:

i. The name, type, and, if applicable, National Provider Identifier of the facility where the birth occurred; and

ii. The city or town and county where the facility is located; and

4. Other information for the individual's birth record provided by the hospital where the individual was born or, if the individual was not born in a hospital, by the physician, registered nurse practitioner, nurse midwife, or midwife who attended the birth and is willing and able to provide the information:

a. The principal source of payment for the individual's birth;

b. The name of the person who assisted the individual's birth and the person's health care provider license type;

c. If the person specified according to subsection (A)(4)(b):

i. Has a National Provider Identifier, the person's National Provider Identifier; or

ii. Does not have a National Provider Identifier, the person's health professional license number;

d. The individual's mother's medical record number, assigned by the hospital, physician, registered nurse practitioner, nurse midwife, or midwife to document the diagnosis or treatment of the individual's mother;

e. If the individual's mother was not married at the time of the birth or at any time during the ten months preceding the birth, whether a voluntary acknowledgement of paternity was completed by the individual's father;

f. The individual's mother's:

i. Weight at the time of delivery, and

ii. History of cesarean deliveries;

g. The following information about the individual's mother:

i. Medical risk factors during this pregnancy,

ii. Characteristics of the labor and delivery, and

iii. Medical complications during labor or delivery;

h. Whether the individual's mother was transferred from a residence or other facility to another facility for a maternal medical condition or fetal medical condition before the birth;

i. If the individual's mother was transferred from one facility to another facility before the birth, the name or location of the facility from which the individual's mother was transferred;

j. The following information about the individual:

i. The fetal presentation at delivery;

ii. The individual's birth weight and length;

iii. An estimate of gestation by the person who performed the delivery;

iv. Characteristics of the individual's medical condition after delivery;

v. Whether the individual has any congenital anomalies and, if so, the type of congenital anomalies; and

vi. Information about immunizations received by the individual after delivery;

k. Whether the individual was transferred within 24 hours after the individual's delivery;

l. If the individual was transferred within 24 hours after the individual's delivery, the name of the facility to which the individual was transferred;

m. Whether the individual was alive at the time the information in this subsection was submitted; and

n. Whether the individual was being breastfed at the time the information in this subsection was submitted.

B. If the birth of an individual did not occur in a hospital and was either not attended by a physician, registered nurse practitioner, nurse midwife, or midwife, or was attended by a physician, registered nurse practitioner, nurse midwife, or midwife who is not willing or not able to provide the information specified in subsections (A)(3) and (4), the information submitted for an individual's birth record includes the following:

1. Information for the individual's certificate of birth registration that includes:

a. The information in subsection (A)(1);

b. The information in subsections (A)(3)(a) through (d);

c. Whether the birth occurred at a residence and, if so, whether the birth was planned to occur at the residence;

d. If the birth did not occur at a residence, a description of where the birth occurred; and

e. The street address, city or town, and county where the birth occurred; and

2. Other information for the individual's birth record that includes:

a. The information in subsection (A)(2);

b. The information in subsections (A)(4)(e) through (g), (j)(i) and (ii), and (k) through (n);

c. The name of the person who assisted the individual's birth and the person's relationship to the individual's mother; and

d. Whether the individual's mother's temperature was 38° C or higher during labor.

Notes

Ariz. Admin. Code § R9-19-201

Amended effective July 31, 1989 (Supp. 89-3). Adopted by final rulemaking at 22 A.A.R. 1782, effective 10/1/2016. Amended by final expedited rulemaking at 26 A.A.R. 1534, effective 7/7/2020.