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Postpartum Doula Services
Thanks for your interest in our postpartum doula services!  

Some of the questions in this form are a bit personal, so only fill out what you are comfortable answering, and know that we regard your information with the highest confidentiality.  We’ll do our best to connect you with a team member that best aligns with your expectations, needs, and budget.

We look forward to serving you!

If you have any questions, feel free to contact
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Email *
Parent #1 First & Last Name: *
Parent #2 First & Last Name: *
When was your baby (or babies) born or when are you due? 
Home Address: *
City: *
Zip Code: *
Parent(s) Phone Numbers: *
Number of previous pregnancies:
Number of Premature Births (babies born before 36 weeks)
Is this a twin birth? Or triplet? *
Number of Children in Your Family
How did this new addition join your family?
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If you are pregnant, where do you plan to give birth? Or, where was your baby born? *
Do you have any medical concerns we should be aware of?  Is so, please share:
What is your biggest postpartum concern?
What questions do you have for the postpartum doula?
How long would you like to have a postpartum doula?
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How many days per week would you like to have a postpartum doula for?
Will you be needing help with other children? If so, what are the ages?
What types of duties would you like your postpartum doula to perform?
[OPTIONAL] Is there a member of our team that you are interested in interviewing? Meet our team at
*Please note that the doula you choose may not have availability for your due date but we will match you with other qualified doulas to interview.  
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How did you hear about Expecting Joy?
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