Midwife PDR Consent

Form Template

This Midwife PDR Consent Mobile App allows midwives and birthing centers to collect and share medical health data with the Perinatal Data Registry.

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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.

<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!

  • Signature Capture
  • Submission Editing
  • Reference Data
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  • iPhone
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  • Quickbooks
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