providing evidence based birth education since 2013
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Services
Photography
WoB VBAC Class
Childbirth Class
Placenta Encapsulation
Clients
Birth Favorites
Birth Plan Template
VBAC Academy
Who do you want at your birth? Is there anyone you do NOT want at your birth?
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Baby's Gender
Boy
Girl
Partner's Phone
How did you hear about me?
Planned Method of Feeding
Breast
Bottle
Undecided
Client Intake Form
Partner's Name:
Describe Your Previous Birth Story
Wisdom of Birth
Why did you want to hire a doula for your birth?
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What fears do you have about labor & childbirth?
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Provider Name
Briefly describe your birth history.
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Can you describe your ideal birth?
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What are your preferences on pain management during childbirth?
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Name:
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Add-On Birth Services
Placenta Encapsulation
Childbirth Education
Address
Estimated Due Date
Please share anything else you'd like me to know, so that I can better serve you.
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Phone
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Email:
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Check here to receive email updates
Hospital Name or Homebirth
Thank you for sharing your information with me!
Have you ever had any procedures done to your vagina, cervix or uterus that may impact pregnancy or delivery?
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