Welcome to The Birth Center: Holistic Women’s Healthcare L.L.C.
GYN and OB Appointment Forms
For those who are interested in prenatal care as new patients: please complete our Prenatal Screening Form. Once submitted it goes to our nursing staff for review. If more information is needed to determine eligibility, or you are not a candidate for care at The Birth Center, you will receive a phone call from the nurse. Once approved, you will receive a call to schedule your initial prenatal appointment.
If you are a first-time patient please fill out the registration and health history forms, and submit them electronically. Read through the HIPAA Policy, and electronically sign the HIPAA form and submit. We will copy your insurance card when you come in for your appointment, so make sure you have your insurance card with you.
Lactation Appointment Forms
If you are a first-time patient please fill out the registration forms and lactation visit intake form, read through the HIPAA Policy, and sign the HIPAA signature page. Bring all completed documents to your appointment along with your insurance card.
If your baby has a different insurance please bring the card.