Honor Your Baby, Honor Your Birth Form
Did you have a "Mother-Friendly" Birth? Did someone extraordinary support you during your pregnancy, labor, birth and/or postpartum experience? Honor Your Baby, Honor Your Birth was created as a way for moms and families to recognize that special doula, midwife, nurse, physician, friend or family member who helped you during your birthing experience.
Please complete our Honor Your Baby, Honor Your Birth Form (PDF) to give that extraordinary person the recognition they deserve.
Downloads
Download and print the PDF version of this form and mail or fax it to:
Coalition for Improving Maternity Services
1500 Sunday Drive, Suite 102
Raleigh, NC 27607
Telephone: 919.863.9482
Fax 904-285-2120