Minnesota Midwife  Census
To get an accurate count, location and practice type of all the community midwives practicing in Minnesota
Full name *
Practice Name *
Practice office location *
Contact information phone address email etc. Please note best/preferred method of contact *
Route of Entry to Midwifery (credentials) *
How long have you been practicing *
Who did you train with? Schooling/training and preceptor(s) *
What area do you serve, how far do you travel? *
Are the majority of your births rural, suburban, urban? *
Do you work with apprenticing midwives? *
Do you primarily serve a particular population? *
How can the midwife organization help you in your practice? ie: medical outreach, supplies, classes, et cetera *
At this point the intent is to keep this census information within the MMG organization.  However, in the future would you prefer that your business contact information *
Date you completed this census *
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