Name *

First Name

Last Name

Phone Number

(###)

###

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Estimated Due Date

MM

DD

YYYY

How Did You Hear About Us *

Medical Provider

Doula

Childbirth Educator

Friend

Google Search

Other provider (yoga teacher, acupuncturist, etc.)

Social Media

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Which sliding scale reflects your budget for doula services? *

Members of The NYC Doula Collective are full-time, professional doulas. We strive to ensure that our members can make a living wage, while also providing doula services that are accessible to families within a broad range of financial means. Our doulas set their own rates within our fee structure based on a combination of their expertise as doulas and other relevant experience. When deciding on your budget for doula services, please keep in mind that the package your doula provides includes the following: attendance at your labor and birth; one to two prenatal meetings and one postpartum follow up visit; dedicated, 24/7 on call time for up to five weeks (week 37 to 42 of pregnancy); unlimited email, text, and phone support to provide support, resources, and answers to your questions; qualified backup support in the extenuating case where your doula can not be present at your birth. Please see our Services and Fees page for guidance before choosing your budget. Please select up to three:

$500 - $1,000

$1,100 - $1,400

$1,500 - $2,000

$2,100 - $2,500

$2,600 - $3,500

$3,600 - $5,000