Midwifery Care Information & Forms

We value your time and want your appointments to go as smoothly as possible.

Below, you will find information and all of the items necessary to streamline the registration process and help us provide you with a great and timely experience. 

If you have any questions, please call us at 425.899.4012.


New Patients

Please download and complete the appropriate New Patient forms, and bring to your first appointment:

Prior to your appointment, please be sure you are enrolled in our patient portal My Navigator. At the time of scheduling, you should have been sent an email with instructions on how to sign up. If you did not receive anything, please follow this link to self-enroll. It is important that you enroll in the portal so that you can complete your online history prior to your appointment.”

If you are coming to EvergreenHealth Midwifery Care from another clinic, this form will instruct your former provider to release your Personal Health Information to us. Download and complete the form, then fax or mail to your former provider.


Returning Patients

Prior to your appointment, please be sure you are enrolled in our patient portal My Navigator.  If you are not currently enrolled, please follow the link to self-enroll

Please download and complete the Returning Patients forms, and bring to your appointment:


Maternity Center Pre-registration

By your 36th week of pregnancy, please complete and submit our online pre-registration. Use your due date as the expected service date.

Image of the Register Now button to preregister for childbirth at the EvergreenHealth Family Maternity Center in Kirkland, WA.


Release of Information to another Clinic

If you are moving to a new clinic, this form will authorize us to release your Personal Health Information to your new provider.

Download and complete the form, then return to EvergreenHealth Midwifery Care.