First Appointment Papers

Papers to bring with youAfter you make your first appointment with your midwife at CCBC, she will email you some important documents that will need to be filled out before your first appointment.

If you have not received an email through Maternity Neighborhood prior to your first appointment or if you have any questions about this process, please just ask your midwife or call the office. We are looking forward to the opportunity to serve you.

Clients who have received care with another provider during this pregnancy will also need to bring this form:

Authorization for Release of Medical Records

Clients who have insurance also need the following:

Assignment of Insurance Benefits – In order for us to collect from your insurance company, we need this form filled out. 

At CCBC we protect your privacy always! The following publication explains your rights:

Notice of Privacy Practice CCBC  (you do not have to print this unless you want a copy for yourself)


Call us:
(361) 883-2229