Client Materials
Consultation
New Clients
- Client Intake Form
- Records Release Form (To Motherland)
- Records Release Form (From Motherland)
- Take-Home Questionnaire for Mother
- Take-Home Questionnaire for Partner
- Informed Consent for Homebirth
- Disclosure Agreement
- Nutritional Profile
- MANA Statistics Consent Form
- Informed Consent for Home VBAC
First Trimester
Second Trimester
Third Trimester
- Informed Choice: Group B Strep Testing
- Informed Choice: Vitamin K for the Newborn
- Birth Supply List
- Motherland Birth Kit Order Form
- Emergency Birth Instructions & Key Contact Info
Postpartum
recent-photos
birth-stories
- Gavin is born!September 15, 2011
- Birth Story–Cheyenne, mom of Josiah, born June 2010June 27, 2010
- Blizzard baby! The Emergence of SimoneDecember 18, 2009
- The Birth of Uma PaiNovember 09, 2009
