Birth Doula Intake Form - Primary Support Person
Thank you for taking the time to provide your responses to these questions. If you don't have an answer for some questions, please take a moment to let the question sit with you and see if anything comes up. The responses that you give to the more introspective questions help me to form a better picture of what you are hoping for in your birth and how I can help you to achieve that.
  • If you have any questions or concerns about the Letter of Agreement Describing Doula Services, please contact Adar Birth Services before agreeing.
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  • if you do not agree, please be aware that you will not receive any kind of updates or reminders about upcoming events, and will need to watch our Google calendar to keep track of these things (including cancellations), and let us know via text or email if you plan on attending any of the events.
  • Please select a photo for us to add to your contact info in our phones. This way, when you call, we can see who it is; it helps to have a face for the name! Thanks.
  • Please include any special instructions, such as buzzer number, parking tips or details about how to get to your home if it is at all difficult.
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    Please make it easy for us to get ahold of you should we need to by entering all applicable phone numbers. Thank you.
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  • If you can't think of any fears, please tell us what things you may have heard from other parents about their birth that has made you feel badly for them.
  • Whether hospital, home or some other planet altogether, whatever feels true for you is the right answer.
  • Please give us the details of your parental leave (when you are taking it, how long it will be)
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