Documentation: PRENATAL CHECK-IN Appointment date * MM DD YYYY Appointment start * Hour Minute Second AM PM Appointment location * client's home provider's office audio/video telehealth - client home audio/video telehealth - client other audio telehealth - client home audio telehealth - client other community location or shared space other Client name * First Name Last Name Date of birth * MM DD YYYY Estimated delivery date * MM DD YYYY Assessment of labor preparation * Assessment of pre-labor symptoms * Car seat preparation and hospital bag * General preparation for infant * Breastpump access and preparation * Updates from recent clinical care team appointment * Concerns * Recommendations * Resources * Inform client that they were (or will be) sent an email around 36 weeks which includes ways in which to prepare their body for the next few weeks until baby arrives. Appointment end time * Hour Minute Second AM PM Signed (doula provider) * Your changes have been saved!
