Marquette General Health Information Management - Medical Records

Dear Expectant Parent(s)

The essential information needed to process your new baby's birth certificate is obtained from the responses you provide to us on the birth certificate worksheet.

Information will be provided to the State of Michigan for statistical purposes and portions will be printed on the birth certificate. In order to promptly complete your new baby's birth certificate, it is very helpful if the worksheet is received in the Medical Records Department prior to the baby's birth. It is not necessary to complete the entire worksheet. The baby's name can be provided at the time of birth. Please print, fill in the form and return to

Marquette General Health System
Medical Records Department
580 West College Ave.
Marquette MI 49855.

The General Information form will be used to streamline your admission processing and will assist the Admitting Department staff in efficiently recording billing information. Please return this general information form with the birth certificate worksheet.

If you have any questions regarding the attached forms or your baby's birth certificate. feel free to call the Medical Records Department at (906-225-3480 or toll free at 1-800-562-9753 ext. 3480. Monday - Friday, 8 am - 5:30 pm.

Commonly Asked Questions