Please feel free to fill out your new client forms online to reduce your waiting time at the office.

• History

  We need this to evaluate whether you are an appropriate candidate for our care.

• Informed Consent for Services

  We must have this before we can see you for a prenatal visit.

• Payment Agreement

  Let us know what services you'd like, find out your specific costs and payment terms, including our refund policy

• MANA Statistics Project Consent

  We participate in a national data-collection project to evaluate the quality of our midwifery care.  Would you like to participate?

• In Case of Transfer

  We keep this information in your file so it’s handy in case we need to take you to the hospital in labor.

• Newborn Metabolic Screening (PKU)

  This test screens for 37 different diseases your newborn could have. Learn about it and let us know if you want it for your baby

• Vitamin K for Newborns

  Vitamin K is given to newborns to prevent a bleeding disorder. Find out more here and let us know if you want it for your baby.

• Eye Ointment for Newborns

  Eye ointment is routinely placed in babies’ eyes at birth.  But does your baby need it?  Learn about it here and let us know if you want it for your baby

• Group B Strep (Beta Strep or GBS)

  Group B Strep is an infection about one third of all women carry, but they have no symptoms or problems because of it.  However, the baby can become infected by it and become seriously ill or die.  Learn about it here and choose your testing and treatment options.

• Insurance Claim Request

  Let us know if you have insurance and you want us to prepare a claim for you to submit to them for reimbursement.

• Kick Counts

  One way to check on the health of your baby is to count his or her movements and track this information over time. You can start at 35 weeks of pregnancy and use this form to record your observations

• Medical Records Request Inbound

  Use this form to request a transfer of your medical records from another provider to BetterBirth, LLC

• Medical Records Request Outbound

  Use this form to request that we transfer your records from BetterBirth, LLC to another provider

• Ultrasound Order

  For providers outside of BetterBirth, LLC to order ultrasounds

• RhoGAM Authorization/Waiver

  Learn how having an Rh negative blood type can affect your pregnancies and select your treatment options with this form.

• VBAC Informed Consent

  If you have had a prior cesarean section you must sign this document for us to care for you.

• Apprentice Agreement

  If you are choosing our Birth Suites Apprentice Package, we’ll need you to sign this special consent form.

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