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Patient Forms

Effective July 1, 2020 The Midwife Group Women’s Health and Birth Center will begin using a new telemedicine application through Doximity.  This solution provides a quick and easy method for the provider and the patient to join their medical appointment.  This is a secure platform.  The application is available to all licensed medical providers and will allow the provider to send you a text with a link to join your appointment.  It’s that easy.  If you have a telemedicine appointment, you should receive a text from your midwife at your scheduled appointment time or shortly after with the link you need to enter the platform and begin your visit. 

Paperwork can sometimes be overwhelming at registration time if you are new to the practice, or haven’t been in to see us in a year or more.  To help facilitate the process, we have provided pdf fillable forms that you can complete online prior to your visit, save a digital copy, and upload using our secure patient portal.  You will need Adobe Acrobat Reader to open and/or print these files.  This will help reduce the time you spend in the waiting room, and will allow your midwife more time to spend focusing on your visit.  Please note that there are forms for the New OB (pregnant) clients and the New GYN (non-pregnant) clients.  If you choose to upload your forms to the portal, please send us a message through the portal to confirm that we have received them, or call the office prior to your appointment.  If we don’t get the forms in the portal, you will be required to bring a printed copy of the printed forms to your appointment. For instructions on how to upload documents to us in the portal, c​​lick ​​HERE for instructions. It is important that you arrive on time with your completed paperwork, or arrive 30 minutes in advance to allow time to complete the paperwork if you don’t do it in advance.  Failure to have your paperwork available no later than your scheduled appointment time may require us to reschedule your appointment.  We will also need a copy of your current insurance card and a picture ID.

​New OB Application Forms (pregnant)

​New GYN Application Forms (non-pregnant)

Call us at 912-629-6262 if you have any questions about these forms or you have difficulty downloading the forms you need.

Patient Portal

The patient portal can be accessed to request and cancel appointments, email the provider or nurse with non-emergent questions or concerns, and receive communications, health information and lab results from the Birth Center over a HIPAA compliant connection. The patient portal is an important tool to utilize in order to fill out medical, surgical, family, and social history ahead of time so we can spend more time talking to our patients.

Patient Portal

Insurance Verification for Pregnant Clients

We are using Larsen Billing Service to handle the verification of benefits. Use the information below to help you walk through the process.

  • STEP 1: Download the Guide to Verification of Benefits with Larsen Billing Service – Verification of Benefits Instructions
  • STEP 2: Go to Larsen Billing Service to complete your verification of benefits. The instructions in the Verification of Benefits Instructions document will walk you through the steps you need to follow on their website. (The Birth Centers PIN number: 12324)
  • We accept Medicaid, Tricare, and most insurance plans.
  • Payment plans are available.
  • We do not participate with any of the exchange plans available through the healthcare.gov website.

We are an excellent choice for self-pay clients due to the significantly lower cost of our services. Please feel free to call our office at 912-629-6262 if you have any questions.

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