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Midwife Maternity Financial Policy Mobile App

Midwives and Doulas can use the Midwife Maternity Financial Policy mobile app to inform patients of their financial policy and financial obligations for midwife services. The app covers payment plans, Incidental labs, procedures and medications, newborn care, education, registration fee, referred services and transfers. This app can easily be customized to match your current midwife company’s financial policy. The app captures the patient’s signature.

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!

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

Want to learn more about GoCanvas?

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Take a peek inside the Midwife Maternity Financial Policy Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    Payment Plan: After your initial visit, we estimate your financial responsibility for a birth cen...

  • Ico statictext

    FSA: It is NOT recommended for clients to use FSA funds for upfront payments.

  • Ico statictext

    Incidental Labs, Procedures and Medications: All incidental labs, procedures and medications that...

  • Ico statictext

    Verification of pregnancy visit Labs and specimen draws

  • Ico statictext

    Medications for labor/birth Birth preparation, breastfeeding & postpartum classes

  • Ico statictext

    Fetal non-stress tests Ultrasounds

  • Ico statictext

    Hydration/IV fluids Herbal remedies

  • Ico statictext

    Cervical balloon Newborn care at birth and follow up visits

  • Ico statictext

    Use of Nitrous Oxide at birth Visits to address non-routine problems & acute illness

  • Ico statictext

    Newborn care: <Insert Name> midwives provide newborn-specific care at birth and may provide more...

  • Ico statictext

    Education: Education is an important part of birth center care but these services are often not c...

  • Ico statictext

    Registration Fee: This will reserve your spot in your due date month, pay for maternity education...

  • Ico statictext

    Referred Services: Some services like complicated ultrasounds, doula support and circumcision are...

  • Ico statictext

    Transfers: in the event of a hospital transfer, clients receive care from providers and facilitie...

  • Ico textbox

    Client Name

  • Ico signature


  • Ico date


  • ...and More!

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