The Doula Partnership - Referral Form
The Doula Partnership is a collaborative effort of Cayuga Community Health Network, Seven Valleys Health Coalition (Cortland County), Herkimer County Health Department and the Madison County Rural Health Council. Our aim as a collaborative program is to promote and provide birth doula services for community members who qualify as low-income and may have challenges accessing prenatal, birth, and postnatal support.

This form acts as a first step to match a pregnant individual to a doula within The Doula Partnership. To begin the referral process, please select an answer to the question below.  
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