Registration Forms

For clients planning to see the midwives at the birth center for prenatal, birth, and postpartum care:

 

We know that many of you prefer to come to your first appointment with as much paperwork completed as possible. Please find our registration forms below, which you can download, print out, and complete.

 

If you would prefer to fill them out at the birth center prior to your appointment, please arrive 15 minutes before your appointment time.

 

Click here for Lake Washington Midwives Registration Forms

Click here for Eastside Midwives Registration Forms

Click here for Renton Midwives Registration Forms

 

For privileged midwife clients who are registering for birth only:

 

Privileged Midwife Client Registration Forms for Kirkland

Privileged Midwife Client Registration Forms for Renton 

 

All clients

 

We care about your privacy. The full details of how we protect your privacy and what your privacy rights are can be found in the Notice of Privacy Practices.

 

We also acknowledge the importance of your rights as a patient

  1. Kirkland Birth Suite 3
  2. Kirkland Birth Suite 3
  3. Kirkland Family Room
  4. Kirkland Birth Suite 1
  5. Kirkland Birth Suite 1
  6. Kirkland Birth Suite 1
  7. Kirkland Entrance
  8. Kirkland Reception Area
  9. Kirkland Birth Suite 2
  10. Kirkland Birth Suite 2
  11. Kirkland Birth Suite 2
  12. Kirkland Birth Suite 2