Midwife Prenatal Appointment Booking Form

Comprehensive Midwife Prenatal Appointment Booking

Planning for your birth journey starts with clear communication and thoughtful preparation. This prenatal appointment booking form helps expectant parents connect with midwifery services while documenting important preferences, health information, and birth planning details—all in one streamlined experience.

What this form helps you do

Whether you're considering a home birth, hospital birth, or birth center delivery, this template guides you through:

• Scheduling your prenatal appointments based on your due date and current stage of pregnancy
• Recording your birth plan preferences including pain management, environment, and support people
• Assessing home birth eligibility through key health and safety criteria
• Coordinating with doula services to ensure continuity of care
• Establishing hospital backup plans for peace of mind and safe transfer protocols

Built for midwifery practices and birth centers

This form is designed specifically for midwives, doulas, and birth centers who provide personalized, family-centered maternity care. It replaces scattered intake forms and phone tag with a single, comprehensive questionnaire that respects the holistic nature of midwifery care while gathering the clinical information you need.

The form uses conditional logic to show relevant questions based on birth preferences—so families considering home birth see eligibility assessment questions, while those planning hospital births can focus on their backup and support preferences. This creates a more personal experience and reduces form fatigue.

Streamline scheduling and care coordination

Built on Paperform's intuitive platform, this template includes an appointment scheduling field that syncs with your calendar, letting expectant parents book available slots without the back-and-forth. You can set availability by day and time, manage appointment length, and ensure adequate spacing between visits.

Once submitted, you can use Stepper to automatically send appointment confirmations, trigger reminder emails as due dates approach, update your practice management software, and coordinate with doula services or hospital liaisons—keeping your entire care team aligned.

Secure, compliant, and easy to customize

Expectant families trust you with sensitive health information, and this form is built on Paperform's SOC 2 Type II compliant platform with data encryption and privacy controls. While Paperform is not HIPAA compliant, it provides enterprise-grade security suitable for many healthcare workflows.

You can easily customize questions to match your practice's intake protocols, add your branding with custom colors and fonts, and embed the form directly on your website for a seamless patient experience.

Who this form is for

This template is ideal for:

• Midwifery practices offering home, hospital, or birth center births
• Birth centers coordinating prenatal care and birth planning
• Doula services working alongside midwifery teams
• Holistic health clinics providing maternity and family care

Start capturing comprehensive prenatal information and streamlining your appointment process with this ready-to-use template—giving you more time to focus on the families you serve.