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Beach Cities Midwifery

Midwifery and Women's Health Care

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  • Our Team
    • Our Midwives
    • Our Birth Assistants
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    • Birth Services
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    • Gynecological Care
  • Our Locations
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    • Classes
    • Doulas
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    • Articles for Patients
    • Patient Paperwork
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Patient Paperwork

If you are unable to complete this paperwork before your appointment, or if you do not have access to a printer, please come 20 minutes early to fill it out in the office. If you are not able to do so, we may have to reschedule your appointment.

OB Questionnaire

Patient Registration Packet (NEEDS TO BE PRINTED IN COLOR)

Records Releases

  • Long Beach
  • Corona
  • Laguna Hills

36 Week Pre-admission Consent packet

Birth Certificate and SSN paperwork

Consult Primer

Consult Prescreening Form

Annual Review of Health

Interval Gynecology History ( Repeat Annuals)

Welcome Letter

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About Us

Beach Cities Midwifery & Women’s Healthcare strives to provide the utmost care to all of our patients across a broad spectrum of social & economic environments. With our staff of highly trained midwives & doulas, it is our goal to give each expecting mother the highest in care, comfort & quality at all of our birth centers.
Contact Us

Our Locations

1224 E Wardlow Rd
Long Beach, CA 90808
(562) 912-4421

23141 Moulton Pkwy #108
Laguna Hills, CA 92653
(949) 215-7575

1353 Old Temescal Rd
Corona, CA 92881
(951) 547-4208

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Upcoming Events

Fri 05

Virtual Breastfeeding Class

March 5 @ 2:00 pm - 5:00 pm
Thu 11

Virtual Postpartum Support Group

March 11 @ 10:00 am - 11:00 am
Fri 12

Virtual Newborn Care Class

March 12 @ 2:00 pm - 5:00 pm

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