Client Forms

CONSULTATION VISIT

Please review the following documents before your consultation visit so that we can answer any questions that you may have.

• Disclosure for Home Birth
• Financial Agreement

INITIAL VISIT

Fill out and bring the following forms to your first prenatal visit. You can fill them out by hand or use the "fillable" versions and then just print them out.

• Medical History Form
  Medical History Form-Fillable
• Financial Contract
  Financial Contract-Fillable

Regulatory Disclosure Package:

Please read this entire package and bring a copy of the completed "Signature Page" and "Directions and Transport Plan" to your initial visit.

• Signature Page
  
• Directions and Transport Plan
  Directions and Transport Plan-Fillable

• Complaints
• Going to Hospital
• MMC_birth injury liability meds disclosure
• Regulatons for CPMs

 

ADDITIONAL HANDOUTS

• Supplies you will need for your homebirth
• Diet Diary
• Pregnancy Tea
• Pediatrician InformationRecords Request (from previous provider) Records Request (from Mountain View Midwives)
  Evaluation Form
  Practice Guidelines
  

If you are unable to access the forms for any reason, please email us and we will send them to you.