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We have a growing collection of midwifery, doula, and childbirth educator documents to help your practice run more smoothly. Please check back often – watch us grow! 

Store/PAPER CHARTS FOR MIDWIVES
CLIENT INTAKE
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CLIENT INTAKE

$45.00
This is a high res PDF digital download. Not a printed product.
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CLIENT INTAKE
Product Details

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If you are a die-hard paper user, the Client Intake Form has all the information you need to collect your client's health history. If you are hooked on electronic charting, the paper chart gives you peace of mind and a way for your client to complete their first step in becoming a midwifery client.

What You Get:
  • Three pages of the Client Intake Form (PDF file)
  • This black and white document is meant to be printed on 8.5" X 11" paper.
  • Please note: You will NOT be receiving a physical copy of this item.
Customization

Footer info, such as practice name or midwife name, additional $10. Please allow 7-14 business days for the customization. The PDF documents will be emailed to you.

Copyright

Please note that this document is for personal use. You may print and use it for yourself/your business as many times as you would like. However, the © copyrighted document, images, templates, and/or description MAY NOT be resold in any way.

©️ Birth Work Designs

How Can I Get It?
  1. Place the item in your bag and purchase the item.
  2. Download this printable when your payment is secured.
  3. You can get this document instantly once a payment is secured.
Returns and Exchanges

Kindly keep in mind that this is an instant download item. I do not accept returns, exchanges, or cancellations. However, if there is any issue with downloading any of the items, please feel free to reach out to me and I will be happy to help you!


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Buy My Books

Your Birth Journey: a Holistic Guide for Pregnancy

by Carolyn Quinn Reisman 

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Buy in Bulk 10 or more

Your Birth Journey: A Holistic Guide for Pregnancy was read by hundreds of mothers in Carolyn’s midwifery practice. Parents absolutely loved it, and it is extremely valuable to midwives! It is an indispensable resource for every family navigating their pregnancy and birth. It meets their needs by integrating the many prompts that guide decision-making, care, and discussion, effectively a “to do” list, covering everything from labs, birth supplies, parenting decisions, natural remedies, and much more. The book’s chapters correlate with regularly scheduled prenatal discussions, so parents don’t miss a beat!

Navigating Your Birth: A Complete Childbirth Preparation Guide

by Carolyn Quinn Reisman 

BUY

Prepare for the incredible journey of childbirth with “Navigating Your Birth: A Complete Childbirth Preparation Guide.” Written by a midwife and childbirth educator, this comprehensive resource equips you with evidence-based information, effective breathing and relaxation techniques for a natural birth, and essential tools to help you achieve the birth experience you envision. Featuring over 200 illustrations depicting anatomy, pregnancy exercises, the normal childbirth process, and various labor and birth positions, you will feel confident and empowered as you prepare for this important life event.

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Contact Me
I'm Carolyn
Founder of Birth Work Designs, promoting woman-centered care and parent and professional resources.

Disclaimer:  Information, educational materials, graphics, or social media outlets on Birth Work Designs should not be interpreted as medical advice. Please discuss any questions or concerns you may have with your care provider. 

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