To my daughter: Your sweet, smiling face reminds me daily of the joy that you have brought into my life.
Thank you for sharing your wisdom and knowledge with me about the birth process. Months later and thousands of miles away, your advice guided me through the turmoil of decision-making and echoed in my head during my difficult labor, giving me strength and helping me birth and breastfeed my precious, healthy baby.
Mom, you were the inspiration for my two wonderful, natural births and for so many other great things in my life. Thanks for being a wonderful role model and friend! Love, Lisa
I was honored to support the birth of Gina and Tim's second child, Mary. What I witnessed was a partnership and commitment to natural birth that still impresses me. Thank you for including me in Mary's birth. Michelle
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