Midwife Client Intake Form

Our Midwife Client Intake Form is a comprehensive and customizable document designed to support midwives in gathering essential health, pregnancy, and lifestyle information from clients during the prenatal, birth, and postpartum journey.

Whether you're providing care in a birth center, home setting, or clinical practice, this form streamlines your client onboarding process, facilitates open communication, and ensures safe, informed, and personalized care. It covers medical history, reproductive background, birth preferences, lifestyle details, and postpartum planning—all in one organized document.

Ideal for independent midwives, group practices, or birth centers, this intake form helps build strong client relationships and supports a holistic model of maternity care.

Key Features

• Customizable & Easy to Edit: Personalize with your midwifery practice name, branding, and offerings.

• Thorough & Client-Centered: Gathers complete client background, health history, and preferences for prenatal, labor, and postpartum care.

• Supports Informed Care: Helps midwives align their approach with client values, needs, and safety considerations.

• Print & Digital Friendly: Use in paper format for in-person consultations or send digitally via email.

How It Works

1. Download the Form: Instantly access your intake form after purchase.

2. Customize It: Edit in Word, Google Docs, or PDF to match your midwifery practice.

3. Use with Clients: Share digitally or in print to guide consultations and chart client history.

Please Note

• For Personal Use Only: Not for resale or redistribution.

• Digital Download Only: No physical product will be sent.

• All Sales Final: As a digital item, this product is non-refundable.

This Midwife Client Intake Form is an essential tool for any midwifery practice focused on personalized, respectful, and evidence-based maternity care.