Endorse the Best Practice Guidelines for Transfer from Planned Home Birth to Hospital

Name*

First Last

Email*

Your email will only be used to verify your endorsement, if necessary, and if you choose to be added to our mailing list. Your email address will not appear publicly on our website or be shared with any third parties.

Endorse as an organization or an individual*

Organization
Individual

If you chose 'organization'

Name of Your Organization / Institution / Practice*

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Website

Name of person at your organization authorized to endorse

First Last

Contact information for person at your organization authorized to endorse (email or phone)*

Location: City, State*

If you chose 'individual'

Your Credential/Degree (if any)

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I am a:*

Keeping in touch with the Home Birth Consensus Summit.

Yes, please send me periodic e-mail updates about the work of the Summit.