moonbellymidwifery
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                          Resources for You

Common Forms

I've placed common forms on this page that you may need during your experience with Moonbelly Midwifery.
To download a form, simply click on its link.
Initial Visit Forms
Please bring, or have these forms with you, for our first visit together.
  • Pre-Consultation Questions

  • Records Request to be sent to Moonbelly

Maternity Forms
  • Tips for a Healthy Pregnancy: WA Toxics Coalition
  • Genetic Screening Options & Discussion

Healthy Mama
  • Plant based Iron-Rich Food Chart, by Kris Carr (Author of "Crazy Sexy")
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Informed Consent
  • Informed Disclosure & Consent for Midwifery Care & Out of Hospital Birth

Privacy Practices
  • HIPAA Notice of Privacy Practices

Records
  • Records Release from Moonbelly
  • Records Release to Moonbelly

How to Order Baby's Birth Certificate:
By 36 - 38 weeks of pregnancy, please fill out the correct form to the best of your ability and bring it in to your midwife appointment.
  • English version
  • Spanish version
  • Female Spouse/Domestic Partner version

I will file your child's Birth Certificate after I receive the completed Birth Filing Form (English version, Spanish version, Female Spouse/Domestic Partner version). Once I have entered it into the Department of Health system, they need 24 hours to process the birth certificate.

In Washington State, you will not automatically receive a copy of their Birth Certificate in the mail.  You need to order your birth certificate. To do this:
  • You can go into your local Department of Public Health to order and receive a copy the same day.  
  • You can also choose to click on THIS DEPARTMENT OF HEALTH LINK  to order (you will receive your copy in the mail)

Midwifery Care Topics
  • Midwives of WA State (MAWS): Indications for Discussion, Consultation & Transfer of Care
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Healthy, whole mothers need a community of sisterhood, a tribe... who is in your tribe?

What Moonbelly Clients Are Saying

"I cannot truly say how incredibly grateful I am to have had your care, support, and tender guidance throughout this journey. What an incredible journey it has been! I have always felt so calm and powerful in your presence, and feel honored to have been the recipient of your incredibly special gift of your midwifery care. Love, Michelle"

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