Doula Client Intake Form: 14-Page Birth Kit
# Doula Client Intake Form: 14-Page Birth Kit**Category:** Business Templates**Price:** $22**The 14-page intake + birth planning kit every birth doula needs at the first prenatal visit.**Birth work is paperwork-heavy. This kit captures the medical history, the birth preferences, the support network, the postpartum plan, and the consent + scope-of-practice paperwork so you can focus on the family, not the clipboard.**What is inside:**- Client + partner contact sheet- Pregnancy history + current pregnancy tracking- Medical history + provider information- Mental health + support system check-in- Birth preferences worksheet (environment, support, interventions, comfort)- Pain coping preferences + non-medical comfort techniques- Partner + support person roles- Hospital or birth center logistics (parking, entrance, who to call)- Postpartum support plan (first 6 weeks)- Feeding preferences (breast, bottle, combo, formula)- Loss + grief acknowledgment (for clients with prior loss)- Scope of practice + role clarity (doula is not medical)- Consent + confidentiality + photography release- Doula notes + red-flag referral summary**Who this is for:**Birth doulas, postpartum doulas, full-spectrum doulas, and midwifery practices offering doula support. Also useful for doula mentors walking new doulas through their first intake.Editable PDF - send to the client digitally or print for in-person prenatal visit.## How to useOpen in any PDF editor (Adobe Acrobat, Preview, Foxit, free online editors). Type into the form fields, save, and reuse.## LicensePersonal and small-business use. No resale or redistribution of the source files.(c) John Carter, Digital Products.
Get it → phillster21.gumroad.com