All Solutions

Explore all the solutions you can create with Paperform: surveys, quizzes, tests, payment forms, scheduling forms, and a whole lot more.

Explore all the solutions you can create with Paperform: surveys, quizzes, tests, payment forms, scheduling forms, and a whole lot more.

See all solutions
Connect with over 2,000 popular apps and software to improve productivity and automate workflows

Connect with over 2,000 popular apps and software to improve productivity and automate workflows

See all integrations
Neonatal Bereavement Follow-Up Wellness Check
About this free form template

Losing a baby is one of the most profound losses a family can experience. Our Neonatal Bereavement Follow-Up Wellness Check template provides healthcare providers with a sensitive, structured approach to supporting families through their grief journey.

Designed specifically for bereavement nurses, midwives, and perinatal mental health teams, this template enables comprehensive follow-up care after neonatal loss. Whether you're conducting grief check-in calls, coordinating memory box delivery, arranging burial assistance, or providing subsequent pregnancy support, this form captures the information you need while maintaining the compassionate, person-centered approach families deserve.

The form guides healthcare professionals through wellness assessments, grief screening, practical support coordination, and ongoing care planning—all within a single, secure platform. Conditional logic ensures questions adapt to each family's unique situation, while integration capabilities mean submissions can flow directly into your patient management system or trigger follow-up workflows via Stepper.

Why healthcare providers trust Paperform for bereavement support:

With Paperform, your bereavement follow-up process becomes more consistent, thorough, and compassionate. Submissions are securely stored with SOC 2 Type II compliance, and you can customize every aspect—from the language used to the support resources linked—ensuring the form reflects your organization's values and protocols.

For teams managing ongoing bereavement caseloads, Stepper can automate follow-up reminders, coordinate multi-disciplinary care teams, and ensure no family falls through the cracks during this critical time. You can also use Papersign for any consent forms related to ongoing care or subsequent pregnancy planning.

This template is ideal for hospital bereavement services, community midwifery teams, perinatal mental health services, hospice organizations, and any healthcare setting providing compassionate care after pregnancy or infant loss.

Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.

More templates like this

Perinatal Loss Doula Wellness Check Form

Perinatal Loss Doula Wellness Check Form

A compassionate wellness check form for perinatal loss doulas providing stillbirth support, NICU vigil care, memory photography, and bereaved family follow-up services.

Psychiatric Crisis Clinician Wellness Check

Psychiatric Crisis Clinician Wellness Check

A confidential wellness check form designed to support psychiatric crisis assessment clinicians managing telephonic evaluations, disposition pressures, and call volume fatigue.

Behavioral Health Crisis Center Patient Elopement Report

Behavioral Health Crisis Center Patient Elopement Report

A comprehensive elopement report form for behavioral health facilities to document missing patients, assess risk factors, and coordinate immediate response efforts with mobile crisis teams.

Behavioral Health Crisis Intervention System Implementation Milestone Report

Behavioral Health Crisis Intervention System Implementation Milestone Report

A comprehensive milestone tracking form for behavioral health crisis intervention systems, covering intake assessments, risk stratification, care coordination protocols, follow-ups, and outcome measurements to ensure effective implementation.

Corrections Mental Health Diversion Program Referral Form

Corrections Mental Health Diversion Program Referral Form

Refer individuals with mental illness from the criminal justice system to community-based treatment programs as an alternative to incarceration.

Mental Health Crisis Team Dispatch Form

Mental Health Crisis Team Dispatch Form

A comprehensive crisis response form for coordinating mental health mobile crisis teams with law enforcement, conducting psychiatric assessments, and evaluating the need for involuntary commitment during emergency situations.

Missing Postpartum Mother Report with Welfare Concerns

Missing Postpartum Mother Report with Welfare Concerns

A sensitive, comprehensive form for healthcare providers and social services to report missing postpartum mothers enrolled in maternal mental health programs, including depression screening data and infant welfare concerns.

Psychiatric IOP Therapist Wellness Check Form

Psychiatric IOP Therapist Wellness Check Form

A comprehensive daily wellness check form designed for psychiatric intensive outpatient program (IOP) therapists to monitor group facilitation workload, assess suicide risk exposure, coordinate medication adjustments, and evaluate step-down transition stress.

Addiction Recovery Aftercare Planning Template Download

Addiction Recovery Aftercare Planning Template Download

Download a comprehensive aftercare planning template to support your recovery journey. Get personalized resources based on your recovery stage, support needs, and goals.

Addiction Recovery Monitoring & Sobriety Tracker

Addiction Recovery Monitoring & Sobriety Tracker

Track sobriety milestones, identify relapse triggers, and monitor support group attendance for addiction recovery programs. A comprehensive check-in form for patients and counselors.

Addiction Treatment Center Patient Safety Incident Report

Addiction Treatment Center Patient Safety Incident Report

A comprehensive safety incident reporting form for addiction treatment facilities to document medication errors, elopement risks, patient safety concerns, and ensure proper state licensing notifications and regulatory compliance.

Adventure Therapy Program Emergency Contact Form

Adventure Therapy Program Emergency Contact Form

Comprehensive emergency contact and participant information form for adventure therapy programs, capturing outdoor experience, medical clearance, risk assessment, and group dynamics history for challenge-based therapeutic activities.