Forms for pregnant patients

• Consent for Maternity Services

  Consent form for maternity services from Women's Health Partners. Complete this form only if you are coming for your first obstetrical visit. [REQUIRED].

• Prenatal Genetic Screen Questionnaire

  Complete this form only if you are coming in for you first obstetrical visit. [REQUIRED].

• Genetic Testing Consent

  Genetic testing consent form which explains the different genetic testing options. [REQUIRED].

• Florida Healthy Start Prenatal Screen

  Florida healthy start prenatal screening to all pregnant patients whose goal is to reduce infant mortality, reduce the number of low birth weight babies and improve health and developmental outcomes. More information can be obtained on their website healthystartflorida [REQUIRED].

• NICA Consent
  

  The Florida Birth-Related Neurological Injury Compensation Association (NICA) consent form. More information on NICA can be obtained at www.nica.com. [REQUIRED].

• NICA Parent Pamphlet

  NICA informational pamphlet for parents. For a pamphlet in Spanish or other languages, visits their website at NICA in other languages