Referral Application
FINDING A PROFESSIONAL YOU CAN TRUST SHOULD BE EASY...
... but it isn't. Time and again we hear stories of families seeking out services only to leave disappointed.
We have a vision at The Birth & Trauma Support Center: that every family have access to competent trauma-informed healthcare. The Birth & Trauma Support Center seeks to connect families with professionals who get it. We are looking for

-Trauma-informed medical providers (OB, Midwife, Nurses, Pelvic floor specialists)
-Trauma-informed birth professionals (doulas, lactation consultants, childbirth educators)
-Birth trauma informed licensed mental health providers

BE A RESOURCE TO BIRTHING FAMILIES IN YOUR COMMUNITY
This is a form for those who have attended a Birth & Trauma Support Center approved class (webinar or live) who are birth or mental health professionals.

As a part of your class attendance you are entitled to a free year's listing on our resource page. This page will be made available to families who wish to find competent trauma-informed support professionals.

Name and Letters (as you would like them to appear)
Email (unpublished)
Professional Phone Number (where clients can reach you)
Website
Location of Practice (city and zip)
Choose your listing category (one)
Which class(es) have you attended
Relevant Professional Education, Certifications and Licenses (please spell out so consumers can clearly read)
Professional Headshot (to be included in listing)
Brief statement of practice, philosophy, background to be included in listing (limited to 300 characters)
Submit
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