Free Birth Plan Template 35Free Birth Plan Template 35Free Birth Plan Template 35
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THE BABY CHICK’S BIRTH PLAN TEMPLATE
Mother: _______________________________ Hospital/Birth Center: _______________________________
Father/ Partner: _________________________
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Baby’s Name: __________________________ OB/Midwife: ______________________________________
Doula: ________________________________ Due Date: _________________________________________
Other Support People: _______________________________________________________________________
Pediatrician: _______________________________________________________________________________
Introduce Yourself to the Staff
This is a great place to share your unique personality with the staff and it offers a good opportunity to offer
words of appreciation to your caregiving team.
Important Issues, Fears, or Concerns
Consider sharing any fears, traumas, cultural concerns, or other information that could help personnel
understand and respect your wishes.
Birth
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