Midwife Charts - Intake Form

A detailed Client Intake form designed by Highland Midwife.

Intended to allow pregnant clients to easily document their medical and reproductive history.

Organized information makes risk assessment simple, and there is enough room on page 2 for grand multips to feel at home describing their births.

Laser-printed on quality 24-pound bright yellow paper, pre-punched for medical charts.

See the complete set of chart forms here.

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