Hollywood Birth Center
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client documents
pregnancy / child birth
child birth education
doulas
natural living / parenting
local products / services
birth centers / midwifery
advocacy & consumer support
social networking
 

 

 

Initial Visit Paperwork

 Title
Client Intake History
Records Release
Initial Risk Screen
AHCA Consent to Deliver In A Birth Center
Notice of Privacy Practices
Acknowledgement of Notice of Privacy Practices
Authorization for Use of Protected Information
Consent for Health Information
HRS H-3123 Risk Assessment

Financial Paperwork

 Title
Policy Accepting Insurance
Contracted Insurance Companies
HBC Financial Contract
HBC Installment Payment Agreement
Medicaid Restrictions

Media / Marketing

 Title
Pediatrician List
Brochure
Hollywood Birth Center Tour Packet

Serving South Florida for over 17 years.
2316 Hollywood Blvd., Hollywood, FL 33020 • Phone: (954) 925-4499 • Email: info@hollywoodbirthcenter.com

 

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