Please complete the form below to book my doula services.
If you wish to book any of my other services please refer to the following links:
***TO BOOK MY PLACENTA ENCAPSULATION SERVICE PLEASE CLICK HERE***
***TO BOOK HYPNOBIRTHING AUSTRALIA™ COURSES PLEASE CLICK HERE***
***TO BOOK POSTNATAL SERVICES PLEASE CLICK HERE***
If you have any questions please do not hesitate to contact me. :)
BHlthSc (Health Promotion)
Doula, Hypnobirthing, Online Programs
0422 229 312
Sign in to Google
to save your progress.
Which service are you booking?
Antenatal Consult $150 (1 hour phone/Zoom consult)
Antenatal consult $250 (2 hour in home visit)
On call/Phone support $500
Birth Doula Support Package $2000
Premium Birth Support and Photography Package $3500
Ultimate Bundle (Birth, Postnatal & Photography) $5000
Estimated Due Date (EDD)
Birth Companion Name
Relationship to you (e.g. spouse, partner etc.)
Intended place of birth (e.g. name of hospital, birth centre or home)
Midwifery Group Practice (Caseload)
Care Provider Name (if applicable)
Is this your 1st, 2rd, 3rd, etc. baby?
Is this birth a VBAC (Vaginal Birth After Caesarean)?
Is there any important information you wish me to be aware of?
How did you find out about me?
Hypnobirthing Australia website
Birth Doula Support Package ($2000) includes:
- Birth doula service
- Hypnobirthing Australia Group course
- Bold Beautiful Birth Online Program (online)
- Mastering Affirmations Mini Course (online)
- Effective Birth Plans (online)
To book this service, please pay your deposit here:
This will give you instant access to the online content.
**This link will open in a new tab/window. Please remember to scroll to the bottom of THIS page and click submit so that I receive your enrolment details!** :)
For all other services, my preferred payment method is PayPal. Please pay via this link:
Direct Deposit Details:
Bank: Commonwealth Bank
Name: Christa Buckland
Doula service - $2000
Payment & Refunds:
For doula service: 50% of the total doula fee is required upfront and is non-refundable. Balance remaining must be paid by 34 weeks (according to the EDD you provide in this form). After 34 weeks, no portion of the fee is refundable. This compensates me for time spent with you as well as the loss of opportunity to work with other clients (see Letter of Agreement for Doula Services for full details).
Please let me know if you need a payment plan! A payment plan can be suited to your needs but usually entails set monthly payments via your credit/debit card. As per above, 50% of the total doula fee is non-refundable. The total doula fee should be paid by 34 weeks. After 34 weeks no portion of the fee is refundable.
Refunds are not given for change of mind.
Please check the box below to acknowledge that you have read and understand the above terms.
Yes, I agree to the above terms.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service