Pregnancy Verification Letter

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(4.9 / 5) 89 votes
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Get your Pregnancy Verification Letter in 3 easy steps

  • 01 Fill and edit template
  • 02 Sign it online
  • 03 Export or print immediately

What Is Pregnancy Verification Letter?

A Pregnancy Verification Letter is filled out to confirm that a woman is pregnant. It includes information about the test and its date. This fillable form can also come with any additional comments. The medical worker who did the test has to file this PDF document for free. 

What Do I Need the Pregnancy Verification Letter For?

  • To get a confirmation of your pregnancy when you make a test in a hospital or clinic;
  • To give your doctor accurate information about the start of your pregnancy for creating an individual plan during it;
  • To note the additional comments from the medical worker who verified your pregnancy.

How to Fill Out Pregnancy Verification Letter?

Pregnancy Verification Letter Screenshot

A printable Pregnancy Verification Form doesn’t contain a lot of information, so it’s simple to fill it out even if you haven’t done it before. Here is what you should do:

  1. Write the date of the test and the patient’s name; 
  2. Indicate the Estimated Day of Delivery based on the results of the test;
  3. If there is any additional information, include it in the specialized field at the end of the page;
  4. You should leave your phone number, name, signature, and title.

Pregnancy Verification Letter Screenshot 2

Consider that the blank filled not by a medical worker is not legal.

Organizations That Work with Pregnancy Verification Letter

Medical institutions.

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Fillable online Pregnancy Verification Letter
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(4.9 / 5) 89 votes
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