Apply to Work with Midwife Brooke Prudhomme

If my practice feels like a good fit for you and your family, I can not wait to meet you! My work with my clients is deeply collaborative, joyful, personal, and honest. I hope to see you soon. - Brooke

Complete and submit this form to apply to work with me.

Once received, I will review your application and will be in touch with a response within 10 business days. If you think you are having a miscarriage, please call 206-588-6122.
If I feel I can support you in addressing your concerns and achieving your maternity goals, you'll receive the next steps for joining the practice and scheduling your appointment.

Name

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Country

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Email

Date of Birth

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Gender

Please describe what midwifery package you are interested in.

Please describe your goals and expectations for working with me.

What do you see as your primary responsibility in your own maternity wellness

How do you feel about the need for medical intervention in the event of a complication?

Please describe your previous births.

How wiling are you to communicate honestly even when conversations are difficult on a scale from 0-5

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1

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5