** Please print, complete and bring these forms with you to your consult
or your first prenatal visit.
Informed Choice Agreement Book (save this!)
Your Course of Care (save this!)
HBMS ~ Client Registration **
Informed Consent Signatory Record **
Financial Agreement/Signatory Record **
MANA Statistics Project Consent Form **
Medical - ER Back-Up Plan **
Prenatal Test Schedule & Informed Consent **
Medical Records Release Authorization **
LBS ~ Insurance Client Registration **
Save on your computer, fill out right in Adobe!
Follow DIRECTIONS to send to Larsen Billing Service
Understanding Your Insurance (save this!)
HBMS Food Journal w/ Protein Counter **
Other IMPORTANT Documents to Review
HBMS ~ HIPAA (Privacy Act), brochure
HBMS ~ Practice Guidelines
HBMS ~ Scope & Standards of Practice
The Midwives Model of Care, brochure
The Rights of Childbearing Women
NARM ~ Certified Professional Midwife
HBMS Midwives
HIPAA Model of
Brochure Care
The Rights of NARM
Childbearing Certified
Women Professional
Brochure Midwife