NS Doulas Prenatal Coaching
Hello! We're so honored to support you as you prepare to welcome a new addition to your family. We know that preparing for this special time can bring many questions and concerns, and we're proud to provide evidence based information and resources, and to support you as you make the best decisions for your family. Once registered you'll receive an email regarding details and to schedule a date.
Type of preparation desired (select as many as apply):
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Mother's Name:
Mother's Cell Number:
Mother's e-mail address:
Father/Support Person's Name:
Home address:
Preferred method of contact:
Preferred Day(s) to meet:
Preferred Time:
Estimated Due Date:
MM
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DD
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YYYY
Midwife/OB/Doctor:
Birth Place (Hospital Name/Home):
Any known complications with your pregnancy so far?
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If so, feel free to share:
What topics would you like to cover during our time together?
If you have been pregnant before, please share any information about your pregnancy, birth, and postpartum period that you would like us to know:
Have you had any previous experiences that make labor and birth seem frightening?
Describe your ideal vision for your birth. Include things such as words, imagery, mood, sounds, smells etc
Anything else you'd like us to know?
How did you hear about Natural State Doulas?
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