My Birth Plan Page 10
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10My birth plan
Special requirements
If you have any special requirements, please tick any that apply to you. You can fill in more details in the
box below.
English is not my first language, and I need someone present who speaks my first language
I need a sign language interpreter
I have special dietary requirements
I and/or my partner have special needs
I would like certain religious customs to be observed
My special requirements are:
Please write in the box below.
General comments:
Please write in the box below.
PAGE 10
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