Hospital Policy Tracker
Please submit any information you have about hospital policies in your area pertaining to doulas being/not being able to support clients in the hospital setting.
We understand that policies are constantly changing. If that happens in your area, please feel free to come back and up date this form. We will share this information on the Birth Monopoly website for clients and other doulas to stay up to date.
Time to complete form: ~3 minutes
Questions? Contact
birthmonopoly@gmail.com
* Required
Email
*
Your email
State:
*
Two-letter abbreviation, please
Your answer
County:
*
Your answer
City:
*
Your answer
Hospital:
*
Your answer
Current Hospital Policy:
*
Your answer
Current as of (date):
*
MM
/
DD
/
YYYY
Visitors Allowed - YES?
YES
Clear selection
Visitors Allowed - NO?
NO
Clear selection
If so, how many are permitted?
Your answer
May visitors switch out with each other?
Your answer
Doulas Allowed - YES?
YES
Clear selection
Doulas Allowed - NO?
NO
Clear selection
Have you successfully seen a policy confirmed or changed? If so, who did you contact and what information did you give them?
Your answer
Please provide links to any petitions, web pages, or other local resources you'd like to share.
Your answer
Any additional comments you would like to share?
Your answer
Submitted by:
This may be your name or the name(s) of someone in your area who has agreed to be a local point person for this issue. Please include contact information for anyone who may wish to reach out to you.
Your answer
A copy of your responses will be emailed to the address you provided.
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