New Client Paperwork - Please fill out and have available to discuss at our first home visit.
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Client Registration Form Nutrition Organization Handout Release of Responsibility Transport Policy and Procedures Financial Contract Informed Choice Agreement Vaginal Breech Waiver Authorization to Release Health Care Information Testing Waiver Form Group B Strep Information Sheet and Waiver Erythromycin Newborn Eye Ointment Waiver Vitamin K Information Sheet and Waiver HIV/RPR/HepB Waiver (waiver to decline blood draw in Active Labor) Rhogam Information and Waiver |
| Tree of Life Midwifery Care Lisa Black, CPM, LM 214-394-5687 |