Paperwork when becoming a client

We all know paperwork has to be done.

And most of us do not like it.

Still, it has to be done.

We encourage you to read, fill out and sign all needed documents online at home before your visit. We would like to keep our use of paper as low as possible to be a low impact practice for our environment.

We read all filled out documentation ahead of our meeting and can talk about everything at your visit.

Spending more time gathering and getting to know each other is more precious than wach waiting or submitting forms.

 Thank you, your Mama Bear Midwife Care staff

 

Patient Documents & Forms

New Patient intake form

Please take the time and fill out before coming to your first visit.

Baby massage waiver

Please fill out this form to register for your course.

CBE course waiver

Please fill out and sign as a couple ahead of starting the course.

Postpartum package info/waiver

Please fill out when booking your package.

New patient agreement

Please read and sign.

Voluntary consent of MW care

Please read and sign.

MW and clients responsibilities and expectations

Please read and sign.

Financial contract

Please take the time to read.

Professional disclosure and Midwifery care contract

Please take the time to read and sign

Homebirth information sheet

Please take the time to read.

HIPAA disclosure form

Please read and sign

Contract for prenatal care only

Please read and sign

Health history

Please read, fill out and sign

Pregnancy /homebirth questionnaire

Please read and fill out

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