Loading

PATIENT PORTALMAKE A PAYMENT SCHEDULE APPOINTMENT

CALL PROMISE

712-722-1700
877-722-1770

EMAIL PROMISE

care@promisechc.org

FIND PROMISE

33 4th St NW,
Sioux Center, IA

Menu

HOME
ABOUT PROMISE
+
SERVICES
+
NEW PATIENTS
PAYMENT OPTIONS
NEWS
- PROMISE PRAISES
+
CAREERS
- APPLY ONLINE
+
CONTACT

PROMISE BABY STORIES

HomePROMISE BABY STORIES

Please fill out the form below for Promise Community Health Center’s Women’s Health Department.

These answers will be used on our website and social media pages.

PARENTS' FULL NAME*
PARENTS' HOMETOWN*
BABY FULL NAME (first, middle, last)*
BABY GENDER*
- MALE
- FEMALE
BABY BIRTHDATE*
MM slash DD slash YYYY
BABY TIME OF BIRTH*
: Hours
Minutes
AM/PM
BABY WEIGHT (lbs and oz)*
BABY HEIGHT (in)*
LOCATION OF BIRTH*
- HOME
- HOSPITAL
WHAT HOSPITAL
WHAT PROMISE STAFF HELPED WITH PRENATAL CHECKUPS?
- MIDWIFE BELINDA LASSEN
- MIDWIFE KARI NEY
- MIDWIFE AUDRA DEGROOT
- NURSE ERICA ROBERTSON
- NURSE KRIS TINKLENBERG
- ASSISTANT HEIDY HERNANDEZ
- NURSE VICKI SCHROCK
- NURSE CLAZINA BLOOM
- NURSE JENNA WYNIA
WHAT PROMISE STAFF HELPED WITH LABOR/DELIVERY?
- MIDWIFE BELINDA LASSEN
- MIDWIFE KARI NEY
- MIDWIFE AUDRA DEGROOT
- NURSE ERICA ROBERTSON
- NURSE KRIS TINKLENBERG
- ASSISTANT HEIDY HERNANDEZ
- NURSE VICKI SCHROCK
- NURSE CLAZINA BLOOM
- NURSE JENNA WYNIA
SIBLINGS (NAME, GENDER AND AGE)
WE WOULD LOVE TO HEAR ANY HIGHLIGHTS OR COMMENTS ABOUT YOUR BIRTH STORY. CHOOSE ONE OR MORE OF THE QUESTIONS BELOW TO ANSWER.
WHAT I APPRECIATED MOST ABOUT OUR PRENATAL CHECKUPS & LABOR & DELIVERY:
ANY THOUGHTS ABOUT OVERALL APPOINTMENTS / BIRTH EXPERIENCE:
WHAT WOULD YOU TELL OTHER PATIENTS CONSIDERING USING PROMISE FOR THEIR PRENATAL CARE?
WHAT WOULD YOU TELL OTHER PATIENTS CONSIDERING HAVING A HOME BIRTH?
I AUTHORIZE PROMISE COMMUNITY HEALTH CENTER TO FULL USE AND DISCLOSER OF MY AND MY DEPENDENT'S NAMES AND INFORMATION ON THEIR MARKETING MATERIALS.*
- YES
- NO
- YES, BUT PLEASE LEAVE MY NAME OUT OF TESTIMONIALS
PLEASE UPLOAD ANY IMAGES YOU WOULD LIKE PROMISE TO USE IN ADDITION TO THE ONES TAKEN AT PROMISE
Accepted file types: jpg, png, pdf, Max. file size: 50 MB.
CAPTCHA

33 4th St NW, Sioux Center, IA 51250
Phone: 712-722-1700
Fax: 712-722-1770
Email: care@promisechc.org

PROMISE NEWS

NEW PROMISE HOME BIRTH: MISS ZIPPORAH JEAN
Mar 24
0
IMPORTANT CHANGES COMING TO MEDICAID OR CHIP ELIGIBILITY
Mar 22
0
YOUTH MENTAL HEALTH ACCESS
Mar 21
0

SUBSCRIBE TO PROMISE NEWS

First Name Last Name Email Address

This health center receives HHS funding and has Federal Public Health Service deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

© Copyright Promise Community Health Center
Privacy Policy | OB Calendar | MAINTENANCE | PURCHASE ORDER |

This site uses cookies. By continuing to browse the site, you are agreeing to our use of cookies.

Español de México