By filling out this birth questionnaire it gives me the opportunity to learn more about you and your birth plans. This way we can be on the same page and have a game plan on the big day. Please don't hesitate to ask more questions and voice any reservations. 

Thank You, Jami Hallam

 

Contact Information
Name *
Name
Phone Number *
Phone Number
Address
Address
Birth Information
Who will be present for the birth?
List of names
Estimated Due Date
Estimated Due Date
Current Birth Plan
Session Type
Please provide the address of where the birth will take place
How is your pregnancy progressing?
Check any that apply
Please provide any information you might think is helpful
Past Labors
If this is not your first labor, please describe how your past labor/deliveries have been. Check any that apply.
Any additional information that might be helpful.
Care Provider Information
Phone Number
Phone Number
Photographer Communication Plan
What would you like photographed?
Check all that apply
Any specific requests?
If for any reason there is an emergency during labor and delivery what you or your baby, what would you like me to do?