Forms

Mountain Midwifery Forms:

We've placed common forms on this page you may need/encounter during your experience at MMC.  To download a form simply click on its link. If you need a form completed by us or any other business request (i.e. FMLA paperwork, disability paperwork, FLEX receipt, copy of entire medical chart, letter to return to work, etc.), please give us sufficient time to complete it before it's due; we may take 5-10 business days to these tasks.

Initial Visit

Your clinic visits occur in Suite 300, upstairs from The Midwife's Garden (the education space, aka Blossom Wellness). Suite 300 is just inside the gate from the half-circle turnaround on Clarkson Street.

Please note the following:

  • Pregnant? The Initial Visit is a medical visit and is not appropriate for detailed questions regarding insurance, billing, and the birth center model of care. Please ask those questions at an Orientation or outside your appointment with our reception desk, or by email to questions@mountainmidwifery.com
  • At the initial pregnancy / maternity visit we require $200.00 registration fee from all patients.  
  • For non-medical phone call-backs, we return calls within 1 business day, so call-backs for new OB appts or billing questions or class sign-ups may not occur until the day after a message is left.
  • Within 2 weeks of your initial visit we will have an estimate of what you'll owe for maternity care and facility fees.
  • Tricare? for ALL Tricare plans, we must pre-authorize your care before we can see you. Please provide your DoD ID/Benefits # and Sponsor SSN when making your appointment.

Lobbying and Industry Relations

Maternity Forms

Informed Consent

Privacy Practices

Misc