Application for Pre-Approval With The Doula Fund
This form is for Doulas who want to work with The Doula Fund to provide doula care to moms-to-be who cannot provide for it themselves.
Email address *
What's your name? *
Are you certified? *
Who is your certifying body? *
Are you a member of the Association of Ontario Doulas? *
Are you insured? (We will be asking for proof of insurance) *
The Doula Fund currently provides a maximum benefit of up to $650 for doula care. Will you be expecting clients to pay more than this? *
If you answered "maybe" or "yes" to the above, please use this space to explain.
The Doula Fund has a minimum expectation of care to be provided to its clients. Please check all which you will be providing below. *
Required
If you cannot meet the above minimums, please explain below
Where did you hear of us?
Clear selection
Would you be interested in being a part of a "Legacy Fund" program to provide for more doula care?
Clear selection
A copy of your responses will be emailed to the address you provided.
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