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  • Billing Service Inquiry

    This form is for people who are working with/considering working with a Midwife on our list and would like more information about our billing services.
  • Midwife Not Listed

    We do not offer billing services for Midwives who are not working with us. If your Midwife is not listed, but told you she works with us, please select 'Other'. If your Midwife is not listed and does not work with us we cannot process any orders for you at this time. You are welcome to give your Midwife our website.
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