CLIENT INTAKE FORM

Hi there,

Thanks for choosing me as your Doula. I’m so excited to support you and be a part of this beautiful journey through pregnancy, birth and in the early postpartum. So that I can best be of service, it would be great to hear about you, your partner, your wishes for your birth and any expectations you have of me.

Please get in touch if you have any concerns.

Many thanks,

Amanda


Your name *
Your name
Do you have any other names?
Do you have any other names?
(eg a nick name or maiden name)
Partner's name
Partner's name
Please include your current home address, and if you are moving, your new address too.
(eg IVF, LMP or early ultrasound dating scan)
(eg MGP, GP shared care, high risk, homebirth...)
(eg Obstetrician or Midwife)
(eg breast, expressed, formula, mixed, donour, unsure...)
(eg very close family, psychologist, house cleaner, etc...)
(eg hypnobirthing, she births, calm birth, hospital classes, breastfeeding, infant first aid or newborn care classes...)
(eg your mum, sister, friend etc...)
 
Birth doula clients enjoying a special moment upon meeting their healthy baby boy at Royal Hospital For Women in Randwick, Sydney, Australia.
Amanda was such a warm, calming and supportive presence for the birth of our son, and by our side for more than 24 hours of labour! We knew we would hire her after meeting her for the first time - and my husband was immediately convinced on the benefits of hiring a doula, having been previously sceptical. Her service was comprehensive, and we learned so much about the labour and birth process from her - particularly that you can say no to anything you don’t understand or feel comfortable with. We we ended up with the best outcome possible and would highly recommended Amanda as a beautiful support for labour and birth. Thanks Amanda!! Xx
— ALISON & PARTNER: BIRTH DOULA PACKAGE CLIENTS

See more testimonials here.