A pregnancy verification letter is a document that a medical professional fills out after determining that an individual is pregnant. The form relays how many weeks pregnant the patient is, what their projected due date is, and how many children they are expected to deliver.
A pregnancy verification letter is a document that a medical professional fills out after determining that an individual is pregnant. The form relays how many weeks pregnant the patient is, what their projected due date is, and how many children they are expected to deliver.
PDF Download
A pregnancy verification letter is a document that a medical professional fills out after determining that an individual is pregnant. The form relays how many weeks pregnant the patient is, what their projected due date is, and how many children they are expected to deliver.
4.6 | 40 Ratings Downloads: 6,651
To be valid, a pregnancy verification letter must be filled out by one of the following:
To Whom It May Concern:
[PATIENT NAME] is approximately [#] weeks pregnant.
Projected due date (EDC) is: [MM/DD/YYYY]
Number of children expected: [# OF CHILDREN]
Medical Professional Signature ________________________ Date [MM/DD/YYYY]
Printed Name [MEDICAL PROFESSIONAL NAME]
Practice/Facility Name [PRACTICE/FACILITY NAME]
Address [ADDRESS] Phone Number [PHONE NUMBER]
The most common reason women need proof of pregnancy is to apply for Medicaid healthcare insurance and governmental assistance programs. In most states, Medicaid provides healthcare coverage to qualifying low-income pregnant women.
Additionally, some employers may request proof of pregnancy from employees who apply for maternity leave. Adoption agencies and abortion clinics will often require pregnancy verification as well.
When someone suspects they are pregnant, they can follow the below steps to confirm and verify their pregnancy.
