This is an exciting time. You're having a baby! Please fill out the following form prior to your admittance to Virtua. Registering before your hospital stay will speed up the
admission process on your big day. Before filling out the pre-registration form below, please have the following available:
Insurance information (including policy #)
Doctor and Pediatrician info
Please note: all patients will be given a urine drug screening upon admission for delivery.
If you are pregnant, the safest choice for your child is to AVOID smoking marijuana. Studies have shown that smoking marijuana while pregnant has been linked to development delays in the child and a higher risk of substance abuse and mental illness later in the in child’s life.
This form must by completed entirely once started, or you will be required to start over.
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