My services are covered by most insurances and Oregon Health Plan open card.

 

 ♥ Free consultation

 ♥ On call 24 hours, 7 days a week for circumstances requiring immediate attention

 ♥ Office visits that last 45 to 60 minutes  

 ♥ Complete prenatal care

 ♥ Full range of laboratory tests available

 ♥ Informed choice – all tests and procedures will be fully explained with the benefits, risks, and alternatives given to help you make your own informed choices

 ♥ Care for the whole woman– concern for the physical, mental spiritual and social well-being of the mother throughout the childbearing year

 ♥ Labor and/or birth in warm water if you choose

 ♥ Continuous care during labor and birth in the comfort of your own home

 ♥ Give birth the way you want and with whom you want to be in attendance

 ♥ Newborn assessment  

 ♥ Newborn Screening Testing (PKU)

 ♥ Home visits after birth for the new mother and baby for the first week postpartum

 ♥ Breastfeeding consultation

 ♥ Well woman care including pap smears, breast exams, physical exam (call for current fee)

 

 ♥ Large lending library of pregnancy, birth, family and health related books and videos/ DVDs

 ♥ VBAC (Vaginal Birth After Cesarean)

 ♥ Childbirth classes available

 

Prenatal Care ~     Appointments are every four weeks through about 32 weeks gestation, then every 2 weeks until about 36 weeks gestation, then once a week until your baby is born.  Each appointment lasts 45 to 60 minutes. Your blood pressure, urine, weight, baby’s growth and heart beat, etc are checked.  We will talk a lot about diet and nutrition because that is the foundation of growing a healthy baby and a healthy pregnancy.  The time is also spent building a trusting relationship.

 

Birth Day ~  You will labor in the comfort of your own home, where ever and how ever you wish.  You have the option to labor and give birth in warm water.  We check that everything is going normally throughout labor and delivery.  If we need to transport to the hospital for any reason, we stay with you and do all we can to make the transition as smooth as possible continuing to give you support.

Postpartum Care ~  I come check on my moms postpartum at approximately 24 to 36 hours and 3 days in your home.  Then a 1-2 week, 4 week and 6-8 week check at the office.  I see mom and baby more often if needed. 

Well Woman Care ~  I offer Well Woman Care at an affordable price.  An annual exam includes a basic physical, monthly breast exam instruction and pap.  I can also run additional labs if requested or needed.  Ask for more information.

 

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information.  Please review it carefully.

Midwife’s Legal Duty

1. To maintain privacy of client’s health information.

2. To provide clients written notice about midwife’s privacy practices and their rights concerning their health information.

3.  To change privacy practices according to applicable law and make new written notices available to clients.

Uses and Disclosures of Health Information

1. Treatment. The midwife may disclose health information to other health care providers providing client treatment.

2. Payment. The midwife my use or disclose information to obtain payment for services.

3. Health-care operations. The midwife may use or disclose health information in connection with quality assessment and improvement activities, reviewing the competence or qualifications of the midwife and her associates, or conducting training, accreditation, certification, or licensing activities.

4. Client authorization. The client my give the midwife written authorization to use or disclose her health information to anyone for any purpose. Authorization may be revoked, in writing, at any time.

5. To family and friends. The midwife will disclose information to family and friends only with the client’s written consent.

6. Persons involved in care. In the event of emergency or client incapacity, the midwife may use or disclose health information to notify, or assist in notifying, a family member, personal representative, or other person responsible for client’s care, of client location and general condition, disclosing only the health information directly relevant to that person’s involvement in client’s care.

7. Marketing services. The midwife will not use client information for marketing operations without the client’s written authorization.

8. Required by law. The midwife may disclose the client’s health information when required to do so by law.

9. Abused or neglect. The midwife may disclose the client’s health information to appropriate authorities if it reasonably appears the client is a possible victim of abuse or domestic violence, to the extent necessary to avert a threat the client’s health or safety.

Client Rights

1. Access. The client has the right to look at or get copies of her health information.

2. Disclosure accounting.  The client has a right to receive a list of occasions in which the midwife has disclosed her information for purposes other than treatment, payment, or health-care operations for the past six years, but not before April 14, 2003 (the date HIPAA guidelines became effective).

3. Restriction. The client has the right to request that additional restrictions be placed on the use and disclosure of her health-care information. The midwife is not required to abide by these but may agree to do so (except in emergency).

4. Alternative communication. The client has a right to request that the midwife communicate with her by alternative means or at alternative locations, as necessary to maintain confidentiality (request must be in writing).

5. Amendment. The client has the right to request that the midwife amend her health information (request must be in writing, and must explain why the information should be amended). Under certain circumstances, the midwife may deny this request.

6. Questions. The client may contact the midwife for information about privacy practices at any time.

7. Complaints. If the client has complaints about the midwife’s use or disclosure of her health information, or the midwife’s response to her request to amend health information or communicate with her by alternative means or at alternative locations, she may complain to the midwife and to the U.S. Department of Health and Human Services.

 

Growing Family Midwifery  

Debbie Cowart, CPM, LDM

144 W Grant St., Lebanon, OR 97355      

Phone  541-401-2658      fax  541-367-2037