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HISTORY
OUR TEAM
MIDWIVES
Administrative Staff
Midwifery Students
CARE
WHAT TO EXPECT
BIRTHPLACE
FAQS
RESOURCES
PREGNANCY
Pregnancy Resources
Complementary therapies, IBCLC, frenectomy
Prenatal Classes and Alternative Therapies
Pre-eclampsia Self-Screening
POSTPARTUM
BABY
MENTAL WELLNESS
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HOME
HISTORY
OUR TEAM
MIDWIVES
Administrative Staff
Midwifery Students
CARE
WHAT TO EXPECT
BIRTHPLACE
FAQS
RESOURCES
PREGNANCY
Pregnancy Resources
Complementary therapies, IBCLC, frenectomy
Prenatal Classes and Alternative Therapies
Pre-eclampsia Self-Screening
POSTPARTUM
BABY
MENTAL WELLNESS
CLIENT BINDER
CONTACT
CONTACT US
CATCHMENT AREA
REQUEST A MIDWIFE
CLIENT LOGIN
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Welcome to Lincoln Community Midwives
HOME
HISTORY
OUR TEAM
MIDWIVES
Administrative Staff
Midwifery Students
CARE
WHAT TO EXPECT
BIRTHPLACE
FAQS
RESOURCES
PREGNANCY
Pregnancy Resources
Complementary therapies, IBCLC, frenectomy
Prenatal Classes and Alternative Therapies
Pre-eclampsia Self-Screening
POSTPARTUM
BABY
MENTAL WELLNESS
CLIENT BINDER
CONTACT
CONTACT US
CATCHMENT AREA
REQUEST A MIDWIFE
CLIENT LOGIN
HOME
HISTORY
OUR TEAM
MIDWIVES
Administrative Staff
Midwifery Students
CARE
WHAT TO EXPECT
BIRTHPLACE
FAQS
RESOURCES
PREGNANCY
Pregnancy Resources
Complementary therapies, IBCLC, frenectomy
Prenatal Classes and Alternative Therapies
Pre-eclampsia Self-Screening
POSTPARTUM
BABY
MENTAL WELLNESS
CLIENT BINDER
CONTACT
CONTACT US
CATCHMENT AREA
REQUEST A MIDWIFE
CLIENT LOGIN
Contact Us
(289) 566 9350
Hours
Mon - Thurs, 9:00 AM to 4:00 PM
Release of Information
Dear:
Fax Number:
I am currently a patient under the care of the midwives at Lincoln Community Midwives. I hereby request that my medical records (as outlined below) be released to Lincoln Community Midwives as soon as possible. The records you can provide will be invaluable. I thank you for your assistance in this matter.
I understand the purpose for disclosing this personal health information to the Lincoln Community Midwives. I understand that I can refuse to sign this consent form.
By filling out this form and clicking on "Submit", I am
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