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INFORMATION PACKET
 
My Background
 
Home Birth Care
 
Students, Apprentices, Assistants
 
Life of a Midwife
 
 
Your First Visit...
 
includes a lot of paperwork.  HIPPA privacy notices, medical history and so on.  You can get a head start if you print out and fill in the forms below, and read the documents below.
 
 
Your Medical History
 
MANA Statistics Project consent
 
Financial Agreement
 
Insurance Information Sheet
 
Midwifery Practice Rules
 
Blessed Beginnings, Inc. Privacy Policy
 
Acknowledgement of receipt of Privacy Policy
 
Medical Record Release Form
 
 
 
 
 
 
 
 
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