Midwife Consent Documents
Consent documents written for homebirth midwives & students!
These are the documents that I use in my own practice, tried and true! Most recently updated in 2025 to include Illinois and Iowa statutes and rules. These will be continually updated. These documents are written with neutral pronouns.
Please do not share these forms with other midwives. I’ve worked really hard on these over the years! Please refer them to my site for purchase. Students, please do not plagiarize these forms by submitting them as your own.
Add your logo, name, and edit this document to include information specific to you and your practice. Spaces where an edit is needed specifically say “edit” so you can easily search and edit the document. The informed disclosure is more personalized to me and my practice, but I still hope the outline provides an easy avenue for you to input your own information.
Disclaimer: mistakes happen! I make no claim that these are perfect. It is up to you, the purchaser, to read through and edit accordingly. I highly recommend you create a footer on all your paperwork to track updates and commit to updating your paperwork annually. If you do find any spelling or grammatical errors, please let me know at sarahmoorecpm@gmail.com.
This package includes:
Informed Disclosure: This is the most editing you will have to do outside of preferred edits to other documents. This document includes philosophy of care, training, plan of care, team, transfer of care, practice management, and relationship.
HIPAA Disclosure: Discusses HIPAA regulations and guidelines and applies them to the practice of midwifery. Includes several spaces for clients to initial and consent to various aspects of sharing personal health information.
Criteria for Risking Out and Transferring Care: Includes specific plans in place - both non-emergent and emergent - and consent for records to be sent. Please note, there are specific notes in this file regarding care in Illinois and Iowa. You can search and make adjustments accordingly.
Responsibilities of Homebirth Clients: A bullet pointed list of expectations for the birthing person including attending scheduled visits, caring for themselves as best as possible, arranging for care for older children and animals, etc.
Financial Contract: This document includes what’s included and not included in the global fee, discounts, bartering, refunds, late to care, delinquency, etc.
Frequently Asked Questions
Fetal Anatomy Scan Consent: Discusses reasons, benefits, and risks. Also reviews reasons for follow up.
Gestational Diabetes Consent: Using the most up to date information from Evidence Based Birth and Lily Nichols, this document discusses risks of GDM and testing approaches. It includes various options for clients to select. Includes Fresh Test!
Waterbirth Consent: This document reviews benefits and risks of waterbirth, eligibility, logistics, midwife’s training, etc.
Consent documents written for homebirth midwives & students!
These are the documents that I use in my own practice, tried and true! Most recently updated in 2025 to include Illinois and Iowa statutes and rules. These will be continually updated. These documents are written with neutral pronouns.
Please do not share these forms with other midwives. I’ve worked really hard on these over the years! Please refer them to my site for purchase. Students, please do not plagiarize these forms by submitting them as your own.
Add your logo, name, and edit this document to include information specific to you and your practice. Spaces where an edit is needed specifically say “edit” so you can easily search and edit the document. The informed disclosure is more personalized to me and my practice, but I still hope the outline provides an easy avenue for you to input your own information.
Disclaimer: mistakes happen! I make no claim that these are perfect. It is up to you, the purchaser, to read through and edit accordingly. I highly recommend you create a footer on all your paperwork to track updates and commit to updating your paperwork annually. If you do find any spelling or grammatical errors, please let me know at sarahmoorecpm@gmail.com.
This package includes:
Informed Disclosure: This is the most editing you will have to do outside of preferred edits to other documents. This document includes philosophy of care, training, plan of care, team, transfer of care, practice management, and relationship.
HIPAA Disclosure: Discusses HIPAA regulations and guidelines and applies them to the practice of midwifery. Includes several spaces for clients to initial and consent to various aspects of sharing personal health information.
Criteria for Risking Out and Transferring Care: Includes specific plans in place - both non-emergent and emergent - and consent for records to be sent. Please note, there are specific notes in this file regarding care in Illinois and Iowa. You can search and make adjustments accordingly.
Responsibilities of Homebirth Clients: A bullet pointed list of expectations for the birthing person including attending scheduled visits, caring for themselves as best as possible, arranging for care for older children and animals, etc.
Financial Contract: This document includes what’s included and not included in the global fee, discounts, bartering, refunds, late to care, delinquency, etc.
Frequently Asked Questions
Fetal Anatomy Scan Consent: Discusses reasons, benefits, and risks. Also reviews reasons for follow up.
Gestational Diabetes Consent: Using the most up to date information from Evidence Based Birth and Lily Nichols, this document discusses risks of GDM and testing approaches. It includes various options for clients to select. Includes Fresh Test!
Waterbirth Consent: This document reviews benefits and risks of waterbirth, eligibility, logistics, midwife’s training, etc.
Consent documents written for homebirth midwives & students!
These are the documents that I use in my own practice, tried and true! Most recently updated in 2025 to include Illinois and Iowa statutes and rules. These will be continually updated. These documents are written with neutral pronouns.
Please do not share these forms with other midwives. I’ve worked really hard on these over the years! Please refer them to my site for purchase. Students, please do not plagiarize these forms by submitting them as your own.
Add your logo, name, and edit this document to include information specific to you and your practice. Spaces where an edit is needed specifically say “edit” so you can easily search and edit the document. The informed disclosure is more personalized to me and my practice, but I still hope the outline provides an easy avenue for you to input your own information.
Disclaimer: mistakes happen! I make no claim that these are perfect. It is up to you, the purchaser, to read through and edit accordingly. I highly recommend you create a footer on all your paperwork to track updates and commit to updating your paperwork annually. If you do find any spelling or grammatical errors, please let me know at sarahmoorecpm@gmail.com.
This package includes:
Informed Disclosure: This is the most editing you will have to do outside of preferred edits to other documents. This document includes philosophy of care, training, plan of care, team, transfer of care, practice management, and relationship.
HIPAA Disclosure: Discusses HIPAA regulations and guidelines and applies them to the practice of midwifery. Includes several spaces for clients to initial and consent to various aspects of sharing personal health information.
Criteria for Risking Out and Transferring Care: Includes specific plans in place - both non-emergent and emergent - and consent for records to be sent. Please note, there are specific notes in this file regarding care in Illinois and Iowa. You can search and make adjustments accordingly.
Responsibilities of Homebirth Clients: A bullet pointed list of expectations for the birthing person including attending scheduled visits, caring for themselves as best as possible, arranging for care for older children and animals, etc.
Financial Contract: This document includes what’s included and not included in the global fee, discounts, bartering, refunds, late to care, delinquency, etc.
Frequently Asked Questions
Fetal Anatomy Scan Consent: Discusses reasons, benefits, and risks. Also reviews reasons for follow up.
Gestational Diabetes Consent: Using the most up to date information from Evidence Based Birth and Lily Nichols, this document discusses risks of GDM and testing approaches. It includes various options for clients to select. Includes Fresh Test!
Waterbirth Consent: This document reviews benefits and risks of waterbirth, eligibility, logistics, midwife’s training, etc.