Important Documents

Download all your important forms (in .doc format) and complete them to save time before your first appointment.
New clients must complete all forms marked with an astrik (*) before the beginning of the first session.

*Client Intake Form

*Consent for Use and Disclosure of Protected Health Information

*Payment and Appointment Cancellation Policy

HIPAA Privacy Practices

Pregnancy Intake

High Risk Pregnancy Release (Requires OB/GYN or Midwife’s signature)

Labor Support/Doula Contract

Infant Massage Class Parent Feedback Form

Minor Consent Form (Required for all clients under 18 years of age)

Oncology Release  (Requires Oncologist or MD’s signature)

Release of Information Form (If you want someone other than you to get a copy of your file)

Advertisements

Questions? Comments?

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s