Hello! Thank you for filling out  a request for doula support! We look forward to working with you. 

1) Please carefully review the information below and 2) After reading, complete the form below to confirm your interest. We are unable to proceed with placement without your response and additional information.

WORKING WITH A DOULA: Please check out this page for more information on working with a doula.

CLIENT EXPECTATIONS: Due to Medicaid billing structure and guidelines, our program is set up with the understanding that clients will have six contacts with a doula. Some of these will be one-on-one with your individual doula. However, these doula visits are supplemented by our group classes, led by one of our certified doulas. We ask that you attend these classes, even if you have attended childbirth education elsewhere. The classes are not a requirement for our clients.  However, due to the high degree of commitment that being on call 24/7 requires, our certified doulas take a limited number of clients per month.  Attendance is one of the factors that we use when making doula placements, and is a factor our doulas consider when reviewing new clients. Priority may be given to clients committed to classes.

There is no out-of-pocket cost to you to attend. We offer a wide range of topics that are great for first-time or seasoned parents. In addition to childbirth education, you may choose to take prenatal yoga, breastfeeding or specialty classes (topics vary). 

Please look at our class schedule, register for classes, and then complete the form below to confirm your interest in working with a doula.

  • Use the promo code WINTER413 to remove the class price, as classes are 100 percent covered by Medicaid. MAKE A NOTE of this code for future use.  You will need it to register for classes. This code is for your use only, and should not be shared
  • If you want to register for a Lamaze Series or Crash Course, please request a specific code here. 
  • This code is for your use only and should not be shared. Also, this code changes periodically. If you find that it is not valid, please email back for an update.
  • Registration for all classes (except for yoga, or unless the class description states otherwise) also includes a partner or support person, should you choose to bring one. 
  • When registering, we ask that you are respectful of our instructors and of other students. If you register for a class, please make it a priority to attend. We understand that sometimes conflicts will arise. In these instances please cancel your registration, or us contact us to let us to let us know that you will not be attending. If at all possible, do this 24 hours or more in advance (or as soon as possible).


Name *
Estimated Due Date *
Estimated Due Date
Mobile Phone *
Mobile Phone
Program Requirements *
I have read over the doula program guidelines and client expectations.
Class Requirements *
I understand that my availability to attend classes at Everyday Miracles, while not required, will increase my chances for being placed with a doula.
Please tell us more about yourself and your hopes for a doula. Some preferences we do our best to accommodate may include placing you with a doula that aligns with your cultural, ethnic or gender identity, a doula that speaks your primary language or shares your faith practices. You may also make suggestions for doulas that you feel you may work well with based on temperament, personality or skill set. Please note, our doulas are all fully trained, but have varying levels of experience, and are experienced in different ways. Sharing what skills are important to you, or the personalty types you work tend to work well with, is very helpful. Finally, while we do what we can to honor your preferences, placement is often largely based on doula availability around your birthing time. (Note: If you already included much of this information in your original request, you can also specify that here, no need to include it again).
Use this space to list the class(es) you have registered for, or plan to register for. If you have not/do not plan to attend, describe your barriers to attending classes. Please BE SPECIFIC. While we understand there are often genuine limitations (for example, language barriers, health issues) we expect our clients to make attendance a priority if at all possible. Note: If one of your barriers is transportation, your medical cab service can likely be used to attend classes or meet with your doula. Specify that you have a prenatal appointment when you make your request. If childcare is an issue, our Monday and Wednesday yoga classes offer nearby, low-cost childcare. See the yoga registration link for details. If you have any questions about our program, please include them here as well. Your request can only be confirmed if ALL information requested is included.