Integrative At Home Spa
Doula Placement Inquiry
Name
First Name
Last Name
Type a question
Please Select
Email
*
example@example.com
Due Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What is your address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Status
Needs to be contacted
Due Date
*
Singles or Doubles
*
What is qualities are ideal in your doula
*
Experience
Cooking
Lactation support
Ease of acesss
Possibility for night hours
First aid certified
Hypnobirthing
Sleep training
Other
What is your budget ?
Please describe what you are looking for in more detail
Are you interested in any of our other services
*
Pre/ postnatal massages
Postpartum doula
Meal Delivery
Infant Massage
Placenta encapsulation
Cpr Training
Anything else in particular ?
Placement Fee paid
*
Rows
YES
NO
INITIALS
$380
Signature
*
Please sign this document assuring that the information given above is correct.
Placement Service ProcessOur placement service fee covers the time and care we put into matching you with the perfect Doula. You’ll have the opportunity to:Interview up to 8 Doulas until you find the one you feel most connected with.Choose your match based on your preferences and requirements.Once you select your Doula:A first week’s payment is required upfront as a deposit the Jewel directly. For Birth July, they will have their own deposit. For postpartum due first weeks payment to reserve their time.For postpartum Doula services, you have up to two weeks to decide whether you’d like to continue with a longer contract. If at any time within this period you feel the Doula isn’t the right fit, we will replace your Doula at no additional cost.Please let us know if you have any questions
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