Chilliwack Midwifery Group Halyley Goldsmith - Daina Meakes - Laura Lande
Registered Midwives
101 - 7056 Vedder Road, Chilliwack, BC, V2R 1E3
Phone: 604 846 8088       Fax: 604 846 8250
midwives@chilliwackmidwifery.com Dear Dr. I have now completed my course of care with:   and her infant,   I am discharging them back to your care and I am pleased to provide you with the following information in order for you to provide their ongoing care: Type infant name, and add period to finish sentence. Pregnancy:       Normal       Complicated by: For stretchy inputs, add an extra space or period at end of the input. Birth took place on at at weeks gestation. Labour was:       spontaneous.       Induced for:   Apgars were: @ 1 minute and @ 5 minutes. SVD
Caesarean section for:  
Other route of delivery:   Perineum:   Post-partum:       straightforward with no complications.
      complicated by:   A Pap test:       was performed and results have been copied to your office.
      was not preformed. Newborn exam:
      Normal.             Revealed:   Feeding:       Breast             Formula Hearing Test       Pass             Requires Follow up
Newborn Screen       Pass             Abnormal
CCHD       Pass             Requires Follow up
Measurement At Birth At Discharge
Weight g g
Length cm cm
HC cm cm
To convert lb and oz to kg, type 9lb 3oz as 9'3 and double click.

For inches to cm, use inches only, not feet and inches, and doubleclick. Yours sincerely,



Registered Midwife Additional Information
Subject:
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