NARM requires that CPMs provide an informed disclosure to all of their clients at the onset of care.
Components of Informed Disclosure for Midwifery Care
NARM requires the Certified Professional Midwife to have written statements of Informed Disclosure for Midwifery Care on file for each client. Informed disclosure forms should be written in language understandable to the client and there must be a place on each form for the client to attest that she understands the content by signing her full name. The signed forms should be maintained in the client’s chart. The form titles should include “Informed Disclosure for Midwifery Care,” and must include, at a minimum, the following:
- A description of the midwife’s education, training, and experience in midwifery;
- The midwife’s philosophy of practice ;
- A statement regarding the availability of the midwife’s Practice Guidelines upon the client’s request. Practice Guidelines should include antepartum, intrapartum and postpartum conditions requiring consultation, transfer of care and transport to a hospital;
- A medical consultation, transfer and transport plan;
- The services provided to the client by the midwife;
- The midwife’s current credentials and legal status;
- NARM Accountability Process (including Community Peer Review, Complaint Review, Grievance Mechanism and how to file a complaint with NARM); and
- HIPAA Privacy and Security Disclosures
Note: definitions of many of the terms above can be found in the Glossary of the CIB.