Vital Statistics
The collection of birth and death records began on October 1, 1913. Public health departments register births and deaths for the
North Carolina Vital Statistics Program pursuant to NC General Statute Article 4 130A.

The local registrar is the health director. Registration of births and deaths takes place at the local health department. A deputy registrar forwards the original birth and death certificates to the Department of Health and Human Services, where they are processed and permanently preserved. A copy is sent to the local register of deeds.

  •  A birth certificate or fetal death report must be filed with the local registrar within 10 days after delivery.
  •  A death certificate must be filed with the local registrar within five days after death.


To obtain a copy of a birth or death certificate contact your local register of deeds:
 Avery County Register of Deeds
 Mitchell County Register of Deeds

Toe River Health District

Healthy people, healthy environment, thriving communities

Toe River Health District is an equal opportunity provider. Services are available to all who may benefit and who meet regulatory requirements regardless of race, color, religion, national origin, sex, sexual preference, disability, age, socioeconomic level, marital status, source of payment, political affiliation, number of pregnancies, DNR/Advanced Directive status, or diagnostic status.

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