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Have questions, big feelings, baby dreams, and everything in between....I'd love to hear from you!

MagniVita Midwifery

6745 Gray Rd. Suite D

Indianapolis, IN 46237

317.363.6006 (current clients only)

765.225.5085 Fax

candice@magnivitamidwifery.com

Please complete the form below:

First name

Last name

Email*

Phone*

Address

Reason for visit*

Which Pregnancy # are you seeking care for ? (enter N/A if not requesting information regarding pregnancy/birth)

Number of Home Births (N/A if none)

I would like to talk more about.....

Well Woman Care

Hormone Balancing/Lab Work

Sports Physical

Something else really great :)

Anything else you would like to share ?

MagniVita Midwifery

6745 Gray Rd. Suite D

Indianapolis, IN 46237

candice@magnivitamidwifery.com

317.363.6006 Cell

765.225.5085 Fax

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