Low Cost Request
One of the most important parts of my doula work is creating access to make sure everyone who wants a doula can have one. If you feel that you might not be able to afford my services (whether through my virtual or in-person work) please fill out this form so we can discuss options on how to make your dreams of having a doula a reality. I try to work with everyone in some capacity to meet their (and my) financial needs.  I will reach out to all requests with a complimentary 30 minute conversation to discuss options. I try to get back to requests within 7 days of receiving them, but sometimes I take a bit longer so please be patient with me.  Thank you so much for considering me to be your doula!

ALL INFORMATION IS COMPLETELY CONFIDENTIAL AND WILL NEVER BE SHARED
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Email *
Name *
Phone number *
Address *
E-mail *
Preferred primary contact method *
Required
Birthday *
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DD
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YYYY
Where did you hear about my services? *
Due Date *
MM
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DD
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YYYY
Preferred Birthing Location (hospital, birthing center, home, etc) *
Will anyone else (family, friend, partner, etc) be with you during your delivery? *
If yes, who?
Have you given birth before? *
Why would you like a doula? *
Household Income *
Would you be willing to provide proof of your income or financial/housing status? *
Is there anything else you think I need to know before being your doula?
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