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At St. John Medical Center, we know that every birth experience is as unique and
special as each newborn baby. We know that today you have many choices to make
in planning your baby’s arrival, and we thank you for choosing our hospital to be a
part of your family’s experience. Please take a moment to complete this form, sharing
your preferences, so we can assure that your experience is
Your Birth, Your Way
Birth Setting
Traditional Birthing Suite Holistic Birthing Suite
Who will accompany you in labor?
Do you have special religious or cultural needs?
Celebration Meal
Family Pizza Party Adult Gourmet Dinner for 2
Menu will be filled out at the time of your stay.
Spa Services
Manicure Massage
Newborn Photo
Yes No
Free Home-going Gift Bag
Please return this completed form to your nurse. If completing
online, just click
“send” and the form will be sent directly to the St. John Medic
al Center Birth Center.
Your Birth,
Your Way.