Documents and Forms

ACNM HomeBirth Position Statement

This is the American College of Nurse-Midwives current position on the safety and efficacy of homebirth. It includes a review of current research material which supports the Midwifery Model as the appropriate standard of care for healthy childbearing women.

Informed Disclosure, Consent and Financial Agreement for Homebirth

Download, print. Both parents must read and sign this document after your interview and bring it to your first visit. If you have questions or concerns about this document, bring them to your appointment before signing. If you have made special arrangements with River & Mountain, these will be detailed at the time of your visit and written into your agreement.

L/BAC Informed Consent

Labor/Birth After Cesarean (L/BAC) Informed Consent

Insurance Registration Form

After we have established that you will be under our care, download and complete this form, print it and bring it to your next appointment.

Transfer Of Care

Plan for consultation, collaboration and transfer of care

Shared Decision Making Document

This is a list of conditions which may require collaboration or referral.

Mana Consent Form In English or en Espaņol

If you choose to participate in the Midwives Alliance of North America study of planned homebirth and the Midwifery Model of Care, please download, print and sign this document and return it to us at your next visit. This document must be received by MANA before you have your baby for your statistics to be included in the study.

Notice of Privacy Practices

Notice of Privacy Practices

Records Release

Authorization for River and Mountain Midwives to use your health information.

Supply List

This is a list of items, in addition to your birth kit, which we ask you to assemble into one basket by 36 weeks. If you have any questions about items on the list, feel free to ask at your next visit.

Reading List

This is a list of recommended readings for pregnancy and birth.

Services

Quick Links