Welcome to the Blue Moon Perinatal Family!
To prepare for your first appointment, download and sign this waiver form and email to hello@bluemoonperinatal.com immediately after booking your appointment. To sign the form, use one of the following options:
Print, sign and scan it
Print, sign and take a photo of it
Adobe e-sign (instructions to do this can be found here)
Then email it to hello@bluemoonperinatal.com
After submitting the above waiver, please download this form and take the time to think through or fill out this information prior to our appointment. Fair warning, this is a long intake, however my goal is to have you think through things so we can be as efficient as possible during your appointment. I realize that some of this is sensitive, so please skip any questions that you are not comfortable with.
Blue Moon Perinatal, LLC does not provide direct medical services. Blue Moon Perinatal, LLC provides coaching and support services intended to complement the medical care provided by your physicians. Blue Moon Perinatal, LLC’s services are not covered by health insurance. Dr. Shevell and her staff will not diagnose, order labs or other diagnostic tests, or make treatment recommendations.