Birth Doula Directory
Please fill out this form to the best of your ability. The information you provide us will help the community find YOU better!
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What is your first name? *
What is your last name? *
What is your Cell Phone Number? *
Do we have permission to text this number? *
What is your email address? *
Who is your certifying organization? *
If you've certified with multiple organizations, please list them all.
What is the name of your birth business? *
Please provide the link to your website, if applicable.
Please provide a link to your FaceBook Business page, if applicable.
Please provide a link to your business instagram, if applicable.
Please provide a link to your business tiktok, if applicable.
What would you say best describes the investment of your services: *
Check all that apply. For instance, if you offer different investments for different packages, please check the first box and all of the varying budgets you cater to.
Required
What services complement your doula work? *
Please check all that apply
Required
What additional services do you provide not listed above?
If you speak any other languages besides English, please list them below:
What areas do you provide doula services to? *
Check all that apply
Required
What town are you located in? *
What other information do you want the community to know about your services: *
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