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OFFICE OF PROFESSIONAL LICENSURE AND CERTIFICATION STATE OF NEW HAMPSHIRE PETER DANLES Executive Director DIVISION OF HEALTH PROFESSIONS 121 South Fruit Street Suite 303 Concord N.H. 03301-2412 Telephone 603-524-9261 Fax 603-279-8870 JOSEPH SHOEMAKER Division Director NEW HAMPSHIRE MIDWIFERY COUNCIL INFORMED CONSENT FORM FOR OUT-OF-HOSPITAL VAGINAL BIRTH AFTER CESAREAN SECTION VBAC To be completed by the New Hampshire Midwife Name of midwife Business address of midwife Name of birth center if...
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