Spark Birth Doula Intake Form - Birth Mother
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 us to form a better picture of what you are hoping for in your birth and how we can help you to achieve that.
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Client Section
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  • If you have concerns or questions about the terms outlined in the Letter Describing Doula Services, please contact Spark Doula Services before agreeing.
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  • Please let us know who to thank. Also, for every referral we confirm, $20 is donated to help low-income parents receive the prenatal care they need.
  • 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 me 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.
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