Forms 
“Heal the earth by healing birth” ~Michel Odent~
You will receive all forms at your initial consultation in your New Patient Folder. However if you lose one or need an extra copy these are available for you to download at your convenience.
| Client Registration | Birth Certificate Worksheet | ||
| Informed Choice and Disclosure Statement | Newborn Screen | ||
| Privacy Statement | VBAC Wavier | ||
| HIPPA Privacy Form | Informed Choice Transport | ||
| Homebirth Checklist | Postpartum Reminders | ||
| Sample Birth Plan |
”Our lives begin to end the day we become silent about things that matter." ~Martin Luther King~
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We use all natural, biodegradable, and recyclable products when ever possible. Reduce / Reuse / Recycle and Save what’s left of our planet!
~ If you would like to make an appointment please call 713-367-8623 or 361-550-1111~
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