Doula Hospital Release Form

Form Template

The Doula Hospital Release Form mobile app captures an authorizing signature allowing hospital to pass name and limited event information (hospital/facility name) with a local independent, professionally trained stillbirthday doula to provide individualized support to myself and my family during labor, birth, and early postpartum of my hospital stay.

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The client acknowledges that they understand the doula can offer comfort measures, emotional support, guidance in keepsake making and referrals to additional support for myself and my family, all tailored according to my needs and wishes during this time.

<a href="http://www.gocanvas.com/mobile-forms-apps/search?utf8=%E2%9C%93&terms=Midwife+PDR+Worksheet&categorysearchselect=

">GoCanvas has a collection of apps developed for Midwives and Doulas. They are all Free with your GoCanvas Subscription. Check them out in our Application Store!

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

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