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OB/Midwife Interview Checklist

When interviewing prospective obstetricians and/or midwives to find one with whom you feel comfortable, use the following checklist to keep track of their credentials and information, as well as the questions you ask and their responses.




Name: _______________________ Credentials: ______________

Address: _____________________________________________

Telephone #: _________________ Fax #: _________________

E-mail Address: _________________________

Appointment Date: _____________

Time: _______________


Office

What type of practice is it (solo/group)?

sologroup

Is the office convenient?

yesno

What are the hours?

__________________

__________________

__________________

Are they flexible in accommodating your schedule?

yesno

Is the office staff and nurses friendly, courteous and helpful?

yesno

Is the waiting area child-friendly?

yesno


Caregivers

How long have you been in practice?

_____________________________________

_____________________________________


What additional training have you taken?

_____________________________________

_____________________________________


If solo practitioner, who will cover for you when you are not available?

_____________________________________

Phone #
_____________________________________


If a group practice, how often will I see the other doctors, nurse practitioners or nurse-midwives?

_____________________________________

_____________________________________


How available are you to answer my questions?

_____________________________________

_____________________________________


When is the best time to reach you?

_____________________________________

_____________________________________


How do I reach you if I need to?

_____________________________________

_____________________________________

Phone #
_____________________________________


Which hospitals and birthing centers are you affiliated with?
Can I choose?yesno

_____________________________________

_____________________________________

_____________________________________


Do you have an OB appointment checklist for me to follow?

yesno



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