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If you're ready to hire Stephanie....

Doula Service Request Form

First Name*

Last Name*

Email*

Phone*

Check this box if this will be a gift for someone else.

Birthday

Month

Day

Year

Address

Is your partner or spouse involved?

Yes

Other

Name of partner or spouse:

Pregnancy, Health, & Care Provider

Expected Due Date:*

Preferred Birth Location:

Are you expecting more than one baby?

Yes

Name of Care Provider

Doula Package Selection

Please select your package of care:

The Seed (Essential Doula) $800

The Bloom (Extended Care) $1,000

The Flourish (Full Circle Care) $1,300

The *Virtual* Seed (Virtual Essential Doula) $500

Please select standalone appointments or add ons:

Additional prenatal or postpartum appointments (60-90 minutes) $150

Birth Plan Preparation (60-90 minutes) $150

Labor, Birth, & Postpartum Preparation (Courses Only- No Doula Care) $400

Scripture & Affirmation Cards (Free Gift)

If you have chosen additional prenatal or postpartum appointments, please indicate how many you'd like to purchase.

How would you like to pay? Payments received in cash or check will automatically receive a 5% discount.

Cash

Check

Venmo

PayPal

Once submitted, please allow 24-48 hours for contract details and invoice to be sent. *Please note that any birth location that is over a 60 mile radius from Stevens Point will incur an additional $200 fee unless otherwise agreed upon.

If you're exploring doula care and would prefer to have a free consultation first...

Contact Us

Feel free to reach out to us for any inquiries or to book a FREE consultation.

First name*

Last name*

Email*

Phone

Message

FROM DUST TO GLORY DOULA SERVICES

Stephanie LaRose

Doula, CLC

Call or text:

715-213-2104

fdgdoulaservices@gmail.com

stevenspointdoula.com

Serving Stevens Point, Wisconsin Rapids, Marshfield, Wausau, Appleton, Waupaca

Located elsewhere? Let's chat!

Book a Consult

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