Documents (PDF Forms)

Below you will find the appropriate paperwork for your visit with our office. For every appointment, we ask that you bring with you your filled out paperwork, a current ID and your insurance card. (If you are transferring from another practice, especially if pregnant, please be sure to also have with you a copy of your records, if they are being faxed from another office, please be sure to check that we have received them prior to your appointment)

PREGNANCY VISIT
ANNUAL/GYN VISIT (bleeding problems, birth control, IUD check, UTI, STDs etc.)

St. John Medical Center Hospital Registration Process & Forms

Hospital Registation Sheet A Healthy Pregnancy Booklet
Pregnancy Congratulations Letter Family Birth Center Brochure
Car Seat Inspection Flyer Family Birth Center Orientation Booklet
Hospital Admission Instruction For Labor OB Checklist
The First Two Weeks - Infant Help Sheet Childbirth Education Brochure 2015
Holistic Birth Center Brochure Hospitalist Explanation Letter
OB/GYN Provider Sheet WSPC Pediatric Referral Sheet
Pregnancy Resource Letter What Every Pregnant Women Needs To Know

In your 8th month of pregnancy, we ask that you fill out your hospital pre-registration paperwork, and turn it into the office. We will then submitt with a copy of your current insurance to the hospital.

MISCELLANEOUS FORMS
Patient Registration
Release of Records From Westshore Midwifery Release of Records To Westshore Midiwfery
Prenatal Plan of Care Should I Call My Midwife?
Midwifery Philosophy Birth Plan
Media Release Self Induction Measures
CONSENTS
VBAC
Refusal of Routine Prenatal Testing
HBC Water Labor
ACOG PRENATAL TESTING INFORMATION SHEETS
Transluciency 1st Check Screening
Cystic Fibrosis
Group Beta Strep Testing Glucose Screening
HBC (Holistic Birth Center) Forms
HBC Consent HBC Referral List
HBC Helpful Resources HBC Survey
HBC Peds Agreement for Newborn Care HBC Infant Care Consent

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