doulaproject.org

The Doula Project works across the spectrum of pregnancy to provide free doula care on a case-by-case basis to people who cannot otherwise afford it. Currently, we are only able to serve people in the five boroughs of New York City.

If you plan to carry your pregnancy to term and would like free doula support during labor, please fill out this form.

Name *
Email *
Phone Number *
Address *
City *
State *	New York
What is your household income? *	$0-$24999 $25000-$49999 $25000-$49999 more than $50000
Date of Birth *
Due Date *
If you have a hospital or birthing center, where is it?
Do you have other support to help you through this pregnancy? Family, partner, friends, etc. :	yes no
Have you given birth before?	yes no
Why would you like a doula?
What are you looking for in a doula?
Is there anything else that we should be aware of before we pair you up with a doula?
Please enter the following code: *