Pregnancy, Birth, and Postpartum Care Request or Referral
Please complete request form below for entry into our Midwifery service with your choice of home, birth center, or hospital birth. All Birth Bundle services (doulas, infant feeding support, etc..are provided at no extra charge)
All information you share goes directly into a HIPAA protected secure environment. You will be contacted by one of our providers for a consultation and enrollment. There is no charge for this consultation visit. Thank you!
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This form was created inside of Rainier Valley Community Clinic.