Client Intake

Click the blue highlighted link below to get into your client intake. This is where you give me your demographics, your pediatrician and OB/Midwife and your health history and your baby. This will take about 10-15 minutes and once completed and you click submit, the form will automatically come to me in your HIPPA compliant private file. Getting this done before our visit will give you an extra 15 minutes of time working with me. If you do not have Aetna as your insurance carrier, you do not have to fill out the financial information.

https://www.mobilemidwifeehr.com/clientaccess.aspx?guid=440B29B0-7426-460F-B68E-A8C4F6C988DE&returnURL=www.birthandbreastfeedingsolutions.com#/View/TabView.xaml?TabName=Client%20Info

blissbabyoval