Wellspring Midwifery Care uses electronic charting, so it is requested that you complete your initial intake forms electronically prior to your first appointment.
In order to start your chart, you must click on the link below and fill out the intake forms. This will create your electronic chart on the practice's iPad and save you the time of completing your background information and history at your first appointment. Be sure to click submit when you finish!
Please visit the following link from a tablet, cell phone, Mac, or Windows PC. The tablet or phone are preferred as it allows you to review and sign the consent forms and agreements:
Click link to access client portal
Please fill out as much of this form as possible before your first visit. This will give us more time to get to know each other at your first visit.
Troubleshooting: If you are unable to open the client portal from your Mac or Windows computer, please follow these steps:
As a midwifery client, the Texas Department of State Health Services wants to ensure you are given certain information during the course of your care. These documents and brochures can be found on this page. Please download the documents and read them prior to your appointment.
We may request previous pregnancy records (for example, if you had a previous surgical birth or are transferring care from another provider during the current pregnancy). In order to request records from your previous provider, please download the following form to request your records be faxed to Wellspring Midwifery Care & Birth Center.
Monday 10-5
Thursday 10-5
Office: 832-777-0291
Urgent: 832-510-6362
Fax: 281-825-5575
For general inquiries & questions,
contact us via email
admin@wellspringbirthcenter.com
9489 Fosters Bend
Cleveland, TX 77328