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Rebecca M. Pugh
Registered Midwife • CPM • Doula
PO Box 213, Rico, CO 81332
970 708 1298
970 967 6288
e-mail us

RESOURCES

Forms

Click here to get Abode Acrobat Reader for FREE!!!The Following documents are in PDF format. If you do not already have Acrobat Reader plugin you can download it for FREE from Adobe at http://www.adobe.com

  Fee Schedule Physical Exam / History
  Fetal Movement Record Prenatal
  Food Diary Prenatal Exam Form
  Health History Protein Counter
  Home Birth Supply List Questionnaire
  Payment Record Waiver of Liability
     

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