Form Center

2. 
3. Maternal, Child Health (MCH) Registration
5. We are now offering Family Small Group Meetings hosted by Maternal Child Health (MCH) Nurses the third Tuesday of each month. After you register, you will be sent a meeting invite. You only need to register once for the virtual Family Small Group Meetings. We look forward to seeing you.
7. Disclaimer: The information in the form below is not confidential. By providing your information, you are allowing Chisago County Public Health to contact you. The Microsoft Teams sessions are not confidential and may include additional people on the call.
9. Note: You will need to download the Microsoft Teams app in order to join. Any questions, please contact us via email at mchnurses@chisagocounty.us or 651-213-5229
11. First Name:*
12. Name of Visiting Nurse:*
14. Email:*
15. Phone:*
17. Baby's Name:
18. Baby's Age or Due Date:*
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field