Birth plan template: share your wishes with the care team

A birth plan is a short note about what a parent hopes for. Many people write it late, on paper, and nobody reads it. I would rather send one link in the weeks before the due date, so the answers are ready when the team needs them.

About you and the day

Name, due date, planned setting and support people. The team needs to know who to expect and where.

About labor and birth

Comfort, pain relief, cord clamping and skin to skin contact. These are the choices people feel strongly about, so they sit in the middle of the form.

About your baby

Feeding, newborn care and what matters if plans change. The last open answer gives everyone a calm way to talk if the day goes another way.

Who fills it and who reads it

The parent-to-be fills it in, alone or with a partner. A midwife, doula or clinic reads the rows. Browse more forms for clinics.

A parent's AI might ask "Where do you plan to give birth?" Then "Who will be with you?" Then "How do you plan to feed your baby?" It shows all answers and sends only after a yes. See agent-fillable forms.

One tip

Send it early and close it on the due date. Check your local privacy rules before collecting health data. This is a form, not medical advice. A shift handover form helps staff pass the plan on, and a patient referral form fits when another provider needs it.

Questions

Does the care team have to follow every answer?

No. The form only collects the parent's wishes and gives no medical advice. Read the rows as JSON or CSV, then talk them through with the parent well before the due date.

Can a partner fill it in for the parent?

Yes. Anyone with the public link can answer. A partner can also hand the form to their own AI agent, which asks for what is missing and shows every answer before anything is sent.

What if the parent changes their mind later?

Ask them to submit the form again and read the newest response. Set close_at to the due date if you want the plan to stop changing from that day.

Or paste the JSON

Give this to your AI. It needs the AI Form API MCP server or an API key. It makes the form and sends you the link.

text

Create this form with the AI Form API create_form tool (or POST https://aiformapi.com/v1/forms with my API key). Then reply with the public_url.

{
  "title": "My birth plan",
  "description": "Share your hopes for labor, birth and the first days with your baby. Your care team reads this ahead of time. Plans can change, and that is fine.",
  "fields": [
    {
      "id": "parent_name",
      "label": "Your name",
      "type": "short_text",
      "required": true,
      "max_length": 150
    },
    {
      "id": "due_date",
      "label": "Estimated due date",
      "type": "date",
      "required": true
    },
    {
      "id": "birth_setting",
      "label": "Where do you plan to give birth?",
      "type": "single_choice",
      "options": [
        "Hospital",
        "Birth center",
        "At home",
        "I have not decided yet"
      ]
    },
    {
      "id": "support_people",
      "label": "Who will be with you?",
      "type": "long_text",
      "help": "Names and roles, for example partner, doula or a friend.",
      "max_length": 500
    },
    {
      "id": "labor_comforts",
      "label": "What would help you feel calm?",
      "type": "multi_choice",
      "options": [
        "Dim lights",
        "A quiet room",
        "Music",
        "Freedom to move around",
        "Birth ball or stool",
        "Warm bath or shower"
      ]
    },
    {
      "id": "pain_relief_wishes",
      "label": "How do you feel about pain relief?",
      "type": "single_choice",
      "options": [
        "I would like to try without medication first",
        "I would like to talk about options as labor goes on",
        "I would like an epidural early",
        "I have no strong preference"
      ]
    },
    {
      "id": "cord_clamping",
      "label": "What are your wishes about cord clamping?",
      "type": "single_choice",
      "options": [
        "Wait a little if the baby is well",
        "No preference",
        "Please ask me on the day"
      ]
    },
    {
      "id": "skin_to_skin",
      "label": "I would like skin to skin contact right after the birth",
      "type": "checkbox"
    },
    {
      "id": "feeding_plan",
      "label": "How do you plan to feed your baby?",
      "type": "single_choice",
      "options": [
        "Breastfeeding",
        "Formula",
        "A mix of both",
        "I have not decided yet"
      ]
    },
    {
      "id": "newborn_care",
      "label": "Newborn care wishes",
      "type": "multi_choice",
      "options": [
        "Baby stays in my room",
        "Partner may cut the cord",
        "Explain routine newborn checks to me first",
        "Photos are welcome",
        "Please keep visitors to a minimum"
      ]
    },
    {
      "id": "if_plan_changes",
      "label": "If the plan changes, what matters most to you?",
      "type": "long_text",
      "help": "Think about a long labor or a cesarean birth.",
      "max_length": 1000
    },
    {
      "id": "allergies_note",
      "label": "Allergies the team should know about",
      "type": "short_text",
      "max_length": 300
    }
  ]
}

Or call the API

bash

curl -X POST https://aiformapi.com/v1/forms \
  -H "Authorization: Bearer $AIFORMAPI_KEY" \
  -H "Content-Type: application/json" \
  -d '{"title":"My birth plan","description":"Share your hopes for labor, birth and the first days with your baby. Your care team reads this ahead of time. Plans can change, and that is fine.","fields":[{"id":"parent_name","label":"Your name","type":"short_text","required":true,"max_length":150},{"id":"due_date","label":"Estimated due date","type":"date","required":true},{"id":"birth_setting","label":"Where do you plan to give birth?","type":"single_choice","options":["Hospital","Birth center","At home","I have not decided yet"]},{"id":"support_people","label":"Who will be with you?","type":"long_text","help":"Names and roles, for example partner, doula or a friend.","max_length":500},{"id":"labor_comforts","label":"What would help you feel calm?","type":"multi_choice","options":["Dim lights","A quiet room","Music","Freedom to move around","Birth ball or stool","Warm bath or shower"]},{"id":"pain_relief_wishes","label":"How do you feel about pain relief?","type":"single_choice","options":["I would like to try without medication first","I would like to talk about options as labor goes on","I would like an epidural early","I have no strong preference"]},{"id":"cord_clamping","label":"What are your wishes about cord clamping?","type":"single_choice","options":["Wait a little if the baby is well","No preference","Please ask me on the day"]},{"id":"skin_to_skin","label":"I would like skin to skin contact right after the birth","type":"checkbox"},{"id":"feeding_plan","label":"How do you plan to feed your baby?","type":"single_choice","options":["Breastfeeding","Formula","A mix of both","I have not decided yet"]},{"id":"newborn_care","label":"Newborn care wishes","type":"multi_choice","options":["Baby stays in my room","Partner may cut the cord","Explain routine newborn checks to me first","Photos are welcome","Please keep visitors to a minimum"]},{"id":"if_plan_changes","label":"If the plan changes, what matters most to you?","type":"long_text","help":"Think about a long labor or a cesarean birth.","max_length":1000},{"id":"allergies_note","label":"Allergies the team should know about","type":"short_text","max_length":300}]}'

JSON definition

json

{
  "title": "My birth plan",
  "description": "Share your hopes for labor, birth and the first days with your baby. Your care team reads this ahead of time. Plans can change, and that is fine.",
  "fields": [
    {
      "id": "parent_name",
      "label": "Your name",
      "type": "short_text",
      "required": true,
      "max_length": 150
    },
    {
      "id": "due_date",
      "label": "Estimated due date",
      "type": "date",
      "required": true
    },
    {
      "id": "birth_setting",
      "label": "Where do you plan to give birth?",
      "type": "single_choice",
      "options": [
        "Hospital",
        "Birth center",
        "At home",
        "I have not decided yet"
      ]
    },
    {
      "id": "support_people",
      "label": "Who will be with you?",
      "type": "long_text",
      "help": "Names and roles, for example partner, doula or a friend.",
      "max_length": 500
    },
    {
      "id": "labor_comforts",
      "label": "What would help you feel calm?",
      "type": "multi_choice",
      "options": [
        "Dim lights",
        "A quiet room",
        "Music",
        "Freedom to move around",
        "Birth ball or stool",
        "Warm bath or shower"
      ]
    },
    {
      "id": "pain_relief_wishes",
      "label": "How do you feel about pain relief?",
      "type": "single_choice",
      "options": [
        "I would like to try without medication first",
        "I would like to talk about options as labor goes on",
        "I would like an epidural early",
        "I have no strong preference"
      ]
    },
    {
      "id": "cord_clamping",
      "label": "What are your wishes about cord clamping?",
      "type": "single_choice",
      "options": [
        "Wait a little if the baby is well",
        "No preference",
        "Please ask me on the day"
      ]
    },
    {
      "id": "skin_to_skin",
      "label": "I would like skin to skin contact right after the birth",
      "type": "checkbox"
    },
    {
      "id": "feeding_plan",
      "label": "How do you plan to feed your baby?",
      "type": "single_choice",
      "options": [
        "Breastfeeding",
        "Formula",
        "A mix of both",
        "I have not decided yet"
      ]
    },
    {
      "id": "newborn_care",
      "label": "Newborn care wishes",
      "type": "multi_choice",
      "options": [
        "Baby stays in my room",
        "Partner may cut the cord",
        "Explain routine newborn checks to me first",
        "Photos are welcome",
        "Please keep visitors to a minimum"
      ]
    },
    {
      "id": "if_plan_changes",
      "label": "If the plan changes, what matters most to you?",
      "type": "long_text",
      "help": "Think about a long labor or a cesarean birth.",
      "max_length": 1000
    },
    {
      "id": "allergies_note",
      "label": "Allergies the team should know about",
      "type": "short_text",
      "max_length": 300
    }
  ]
}

A birth plan template for parents-to-be and their care team