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Wind Song Midwifery

Look as professional as possible!
Buy these logo-ready materials for your practice.

Developed in partnership by a licensed midwife and one of her clients, these materials are professional, user-friendly, and are based on a philosophy of informed consent.

Materials Currently Available

Other Information

Materials Currently Available

Client Information Handouts

  • Anemia Regimen
  • Anti Nausea Recipes
  • Barley Waters
  • Cervical Cap
  • Chromium Content of Some Food
  • Diaphragm Instructions
  • Flat/Inverted Nipples
  • High Energy Recipes
  • Home Birth Guidelines
  • Home Birth Supply List
  • If the Baby is Coming Fast
  • If Your Bag of Waters Breaks
  • Informed Consent
  • Iron Content in Some Food
  • Iron Needs During Pregnancy
  • Kegels "Kegels" Kegels
  • Maintaining Stable Blood Sugar Levels and Preventing Gestational Diabetes
  • Morning (Anytime) Sickness
  • MSAFP Facts
  • Prenatal Perineal Massage
  • Resuming Sex/Birth Control
  • Schedule of Visits
  • Sore/Cracked Nipples
  • Warning Signs During Pregnancy

Client/Midwife Forms

Items for the client to fill out/sign and return to the midwife

  • Consent Release of Medical Data
  • Covenant for Care
  • Diet Questionnaire
  • Draw a Map to Your Home
  • Fetal Movement Counting
  • Five Day Nutritional Record
  • Informed Consent for (Your Business Name) Care
  • Maternity Care Package Fees
  • MSAFP Consent Form
  • Personal Birth Plan of (Client's Name)
  • Pregnancy Communication Questions

Midwife Forms/Protocols

  • Assessment of Gestation
  • Balance Sheet
  • FHR Auscultated Acceleration Analysis
  • FHR Auscultated Acceleration Graph
  • Heparin, Epinephrine, and Magnesium Sulfate Protocols
  • Midwife Medication Report
  • PIH Protocols
  • Prenatal Care Guide
  • Single Visit Appointment Record
  • Statement of Services (for insurance companies)
  • Personalized Protocol Manual


Other Information

All materials are:
  • logo-ready originals for you to make as many copies as you need for your personal or business use
  • available on 3 1/2" disk
  • IBM format on Microsoft Word 6.0
  • copyrighted
  • available for customization

  • Hard Copy Originals $7.50 each
  • Originals on Disk
    • 1-3 $12 each
    • 4-10 $10 each
    • 10+ pricing negotiable

Also Available:
(contact us for pricing)
  • Mom Post Partum Care Guide Booklet, 10-12 pages
  • Newborn Care Guide Booklet, 10-12 pages

Customization Services Available Include:
(prices start at $5, contact us for specifics)
  • adding your individual practitioner information or computerized logo
  • eliminating sections that don't apply
  • adjusting for personal protocols or preferences
  • designing original materials per your specifications


We constantly have materials under development, so please contact us if you don't see what you are looking for.

If you would like samples of specific documents or for more information, please send us your name, address (including country) and e-mail address to:

Wind Song Midwifery
S. 210 Main Street
Colfax WA 99111 USA
Kati Ann:


Online Birth Center ** Midwifery Today ** New Items

Last updated April 28, 1996 by
Donna Dolezal Zelzer