Home Birth Forms

 

 

Thank you for choosing me as your midwife! It is truly an honor. Here you will find documents specific for birthing at home.

Home Birth Contract (PDF):

  • Informed Consent for Out of Hospital Birth

  • Informed Disclosure for Midwifery Care

  • Financial Agreement

  • Personal Responsibility Agreement

Birth Supplies

Informed Consent Forms (PDFs)

 

 

 

Nelly Aran at Pexels

MANA Stats

I participate in a national effort among out of hospital midwives to gather anonymous data, with parents’ consent, about birth outcomes, in order to produce much-needed peer-reviewed scholarship about home and birth center birth.

Insurance & Billing

As a NJ licensed midwife, I am an out of network provider in the state of New Jersey. Insurance companies (except for Medicaid and certain specific companies such as Tri-Care) may cover some or all homebirth midwifery care. However, each company is different and each plan is different.

I work with Cohosh Billing, a small woman-owned medical billing company that specializes in home birth midwifery. They charge a $35 fee to verify your insurance benefits, providing an estimate of your reimbursement (that form is here). For a fee, they will submit your claims and pursue the maximum reimbursement.