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How do I officially fire my midwife?  

post #1 of 10
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post #2 of 10
Usually the original consult is free. If you haven't had an appt with her and you give her 24 hours notice for the appt then I wouldn't send any money.
post #3 of 10
I think that is more than fair. Did you sign a contract? If not you are not obligated to pay her anything. Your letter doesn't need to say anything other than "Thank you for meeting with us. We have decided to seek other options. Enclosed is a check for ____ to cover the time you have spent with us."
post #4 of 10
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post #5 of 10
oh, well if she did do a prenatal then yeah, you should send her the money. That would be the right thing to do.
post #6 of 10
I agree that it is right to pay her for the prenatal visit. You might send her a note that says you have decided on another option for your care, thank her for her time, and to please bill you for the visit she made. That way, you can send her the amount she hopes to receive for one visit. Of course, $150. is fine...in my opinion a bit high, but I don't know all of what you did with her, how much time she spent. Hopefully she will not try to bill you for more than that, especially if there was no contract or financial discussion/arrangements. But she might well bill less for the visit--more like $50-100.
post #7 of 10
I charge $225 for a new client home visit plus mileage ($200 for office visit), so I don't think it's unreasonable at all. $150 is is my fee for a normal hour-long prenatal office visit for an established client. Then again, those are my "official" fees, I have generous discounts if you pay in cash at the time of service, though I rarely have clients pay for individual appointments, it's all part of the global fee. The per-visit fees are only applicable when someone leaves my care and I have to retrospectively itemize, as in this case.
post #8 of 10
What if you are an insurance customer. the midwife I am currently working with, will they get paid for the 3 visits so far by my insurance? Or do you feel I should pay out of pocket for 3 visits?
post #9 of 10
I would bill the insurance for the visits, but the client would still be responsible for the balance.
post #10 of 10
thanks so much for that , nashville midwife.
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Mothering › Forums › Pregnancy and Birth › Birth and Beyond › Homebirth › How do I officially fire my midwife?