Request an Appointment Now Accepting Birth Center Clients Please complete the questions below, and we will call you to set up an appointment. Please enable JavaScript in your browser to complete this form.I am located in: *IdahoWashingtonName *FirstLastMy Baby's Estimated Due Date *Mother's Date of Birth *Phone Number *Email *What is your travel time from home to our birth center? *We're located at 915 N Pines Rd Spokane Valley WA 99206Is this your first baby, or ... *FirstSecondThirdFourthFifthSixth or more...Do you have insurance for your baby's birth? *No, I do not have health insurance, I will be paying cash.I DO have insurance that I will be using.If you have insurance, please note below what insurance you will be using.Ever had a cesarean? *YesNoWould you prefer a Home Birth, a Birth Center Birth, or do you have no preference? *Home BirthBirth Center BirthNo PreferenceWhat caused you to desire an out of hospital experience? *What does your ideal birth look like? *What are you planning to do to prepare for an out of hospital birth? *My Partner... *...will be here for the consultation...will NOT be here for the consultationIt is recommended that all of the people that are making the decisions for the birth be in attendance at this meeting.Referred By *Select OneReturn ClientReferred by a ClientReferred by OtherInternet GoogleName of Person who Referred You *Text message consent *Yes, I consent to receive customer care messages from Spokane River Birth CenterNo, I do not want to receive any text messages from Spokane River Birth CenterSpokane River Birth Center LLC (doing business as Spokane River Birth Center) would like your consent to send customer care text message communications from (833) 709-8880 or (509) 443-4712 to your mobile number listed above, in response to your questions or to provide information relevant to your relationship with us. Consent is not a condition of purchase. Message frequency varies. Message and data rates may apply. Reply 'STOP' to unsubscribe at any time. Reply 'HELP' for assistance or more information. We do not share your mobile opt-in information with anyone. Our combined Privacy Policy and Messaging Terms and Conditions are available at https://spokanerivermidwives.com/privacy-policy/.WebsiteI'm Ready to Schedule
