New Patient Intake Form
We collect this information to assist us in preparing to provide you the best possible care for your pregnancy and birth. Please tell us as much or as little as you feel comfortable. At your first visit we will discuss this form with you, so please send us back this form prior to that visit. You will receive a reply via email within 3-5 days of submission. PLEASE CHECK YOUR JUNKMAIL FOLDER. Depending on your email settings our “Welcome Email” can sometimes end up in your junk folder.
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