Helping Hands Scholarship

I believe that every mama deserves and needs a doula for their pregnancy, birth and postpartum. When I partnered with children's connection it made supporting every mama possible. Please answer the following questions to submit your application for pro bono doula support. I will be in contact with you within the week!
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Email *
Name (First,Last) *
Phone Number *
Estimated Due Date (EDD) *
MM
/
DD
/
YYYY
OBGYN/Midwife: *
Where do you plan on birthing this baby? *
Please select all that applies to you: *
Required
You must live in Texas to be eligible for pro bono doula support. Virtual Doula support is available for those living outside the DFW area. In person support for birthing people living in the DFW area. Where do you live? (City, state, zip code)
 *
I think an educated mom is a great birthing mama. Are you open to doing any form of childbirth education? *
Why are you seeking out doula services? *
How do you see a doula supporting you?
 *
How will free or low cost doula services benefit you during your pregnancy & labor?
 *
What (if any) concerns do you have about pregnancy, labor or postpartum?
 *
Do you have any preexisting conditions or pregnancy conditions? List below or put n/a if does not apply to you. *
Thank you!
Thank you for taking the time out of your day to fill out this brief form. As mentioned above I will be in contact with you within a week. If I am not available to support you I will do my best to find a doula who can or offer virtual support! I also understand how hard and vulnerable it can be to ask for help, but I want you to know I am here to help and you always have a safe place to be vulnerable and transparent with me!  
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