Request a NAPS Doula

Please use this form whether you are seeking in home Postpartum Doula support, immediate Postpartum Doula support after birth, Birth Doula or a Sibling Doula

Name Name First Last
Email
Phone Phone - ### - ### ####
We will send doulas who match your criteria your first name, phone number and email so they can introduce themselves.

We will send doulas who match your criteria your first name, phone number and email so they can introduce themselves. Please do not send my contact information to the referred doulas. I will contact them on my own.

This information will not be used for any purpose other than allowing selected doulas to introduce themselves. We always exclude your last name and street address.
How do you prefer to be contacted by the referred doulas? Please check any that apply, unless you have opted out of doulas contacting you.

How do you prefer to be contacted by the referred doulas? Please check any that apply, unless you have opted out of doulas contacting you. Text Phone Call Email

NAPS will email you the referred doulas contact information.
Do you need...

...an in-home Postpartum Doula?

Do you need... ...an in-home Postpartum Doula? Yes No

A postpartum doula provides in-home emotional and practical support for a family following the birth of their baby(ies).
... a Birth Doula

... a Birth Doula Yes No

A birth doula provides continuous physical and emotional support during labor and may offer prenatal and postnatal visits.
...a Postpartum Doula @ birth location (support immediately after birth)

...a Postpartum Doula @ birth location (support immediately after birth) Yes No

If you are not hiring a birth doula, consider having immediate postpartum support to assist with feeding, baby care and recovery at your birth location.
... a Sibling Doula

... a Sibling Doula Yes No

A sibling doula would be on-call for your birth to care for your other children and assist in preparing them for the arrival of their new sibling(s).
Will any insurance or employer based benefits be used towards the cost of your doula?

Will any insurance or employer based benefits be used towards the cost of your doula? Yes No
Some insurance companies or employer based benefit programs require a certified doula. Check the box below if you need certified doulas.

Some insurance companies or employer based benefit programs require a certified doula. Check the box below if you need certified doulas. Send me certified doulas only

Some of our experienced doulas choose not to certify for a variety of reasons, others are either formally certified or working towards certification.
How many babies will be in the home?

How many babies will be in the home? One Two (twins) Three or more
Are you looking for daytime, evening, or overnight support?

Are you looking for daytime, evening, or overnight support? Daytime Evening (typically 5pm-10pm) Overnights Weekends Not sure
How many visits a week are you requesting?
What is your approximate start date for your NAPS Doula? What is your approximate start date for your NAPS Doula? / MM / DD YYYY
What is your due date? What is your due date? / MM / DD YYYY
Where will you be giving birth?

Where will you be giving birth? Birth Center Home Hospital
Birth Place Name

For Birth Center or Hospital
Birth Place City

We are able to offer referrals to most areas within the Puget Sound region
Birth Place Zip Code
Is your birth location more than 15 miles from your home?
Does your birth location require a ferry ride?
How many older siblings will be in the home?

How many older siblings will be in the home? One Two Three or more
Residential Area
Residence City and Neighborhood

We are able to offer referrals to most areas within the Puget Sound region
Residence Zip Code
Is there a pet in your home? Please specify what type of pet and if the pet will be in the same room as the doula at any time. We ask this question as some of our doulas may be allergic to certain pets.
Additional Information: Is there any other information that would be helpful in finding you a doula? (special needs or preferences, pet support, particular dates needed)
Where did you hear about NAPS?