Metta Birth Project Application for Services

This application and an in-person interview are required for consideration to receive services from The Metta Birth Project. If you do not have access to a computer to fill this application in electronically, please arrive at least 20 minutes early for your appointment time and ask for a paper application.
This application is kept confidential. Only members of our board of directors will have access to your detailed information. Your doula will have information shared with her relevant to serving your needs, such as your contact information, previous or current health concerns or risks pertaining to your pregnancy and intended place of birth. All of our volunteers are bound by HIPAA privacy policies.
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