We would like to ask you to completely fill out this form before your second appointment at the practice. We will check all the data en put it in your file. Together we will talk about all this when you come to the practice for your intake appointment. When you filled out this form we will have more time during the intake to talk about everything and to answer all your questions.
We ask a lot of things about your health and lifestyle, family history and obstetrical history. This is important information for us to give you the best, most optimal and safe care during your pregnancy and labour.