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COMMUNITY BIRTH PROGRAM REFERRAL JIM PARTISAN OUTPATIENT CARE AND SURGERY Center *MXX* MSXX104988A Rev: Mar. 12 12 Page: 1 of 1 JPO CSC 9750 140th Street Surrey, B.C. V3T 0G9 Phone: (604 5824558 ext
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How to fill out community birth program referral

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Who needs community birth program referral?

01
Pregnant women who are interested in accessing services provided by the community birth program.
02
Women who prefer a non-hospital setting for giving birth and want to explore alternative birthing options.
03
Expectant mothers who are interested in a holistic approach to pregnancy and childbirth, including midwifery care and support.

How to fill out community birth program referral:

01
Obtain a referral form: Contact the community birth program or visit their website to obtain the referral form. It may be available for download or you may need to request a physical copy.
02
Gather necessary information: Before filling out the referral form, make sure you have all the required information readily available. This may include personal details such as your name, address, contact information, as well as your due date and any relevant medical history.
03
Complete the referral form: Fill out the referral form accurately and legibly. Be sure to provide all requested information, including any optional sections that apply to your situation.
04
Attach any supporting documents: If required, attach any supporting documents that may be requested, such as copies of previous medical records or prenatal test results. Make sure to follow the instructions provided by the community birth program.
05
Review and double-check: Before submitting the referral form, review it thoroughly to ensure all sections are completed correctly. Double-check the accuracy of your personal and contact information to avoid any delays in processing.
06
Submit the referral form: Determine the preferred method of submission as specified by the community birth program. This could be through email, mail, or in-person delivery. Follow the instructions provided to ensure your referral is received promptly.
07
Follow up: If you do not receive a confirmation or any communication from the community birth program within a reasonable time frame, consider reaching out to them to ensure your referral was received and is being processed accordingly.
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