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Prior to your appointment, please download this intake form and return via email at least 48 hours before your scheduled session. Please be as open and accurate with your answers as possible.

If you are unable to email the completed intake form or have trouble with the Word document format, please download PDF and send to:

Rebirth Midwifery

1041 E. Green Street, Suite 201

Pasadena, CA 91106

If you are working with Abigail during pre-conception, please download and print the following guidelines.

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