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Midwife PDR Consent Mobile App

This Midwife PDR Consent Mobile App allows midwives and birthing centers to collect and share medical health data with the Perinatal Data Registry. Participation in this data collection involves allowing information from a patient’s medical record regarding pregnancy to be entered into a secure online data registry. The care that received during pregnancy, labor, birth and postpartum, and the care that your newborn receives, will not be altered in any way as a result of participation in this data registry. A health record from pregnancy may also be reviewed by one of the project administrators during a site visit to the practice in which you are receiving maternity care in order to confirm that the data entered in the data registry is accurate.

As a practitioner in the medical profession, use this app as a key component for documenting health reference information for live births performed by a midwife or birth center. Document maternal and child health during a birth, noting infectious diseases, severe reactions, and any other significant notes from before, during, and after the pregnancy.

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 PDR Consent Mobile App

Included Features

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Included Fields

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    1. Title of Data Collection Form:

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    2. Administrator:

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    3. Purpose: The purpose of this data set is to:

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    a.

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    b.

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    c.

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    Procedures: Participation in this data collection involves allowing information from your medica...

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    Risks: The risks involved with participation in this project are no more than one would experien...

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    Benefits: Potential benefits of participation in this project include the satisfaction of knowin...

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    Data Collection & Storage: All information about you and your pregnancy will be kept confidentia...

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    8. Contact Information: For related problems or questions regarding your rights, or other questio...

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    Consent Statement: I have read or had read to me the proceeding information describing the project.

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    Signature of Client

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    Date

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    Signature of Provider

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    Date

  • ...and More!

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