Private Education / Consultation Name* First Last Partner's Name Phone*Email* Address* Street Address City State / Province / Region ZIP / Postal Code EDD or DOB* MM slash DD slash YYYY Current Birth Location Current Doctor Or Midwife We would like to cover the following topics in Private Sessions*Please check all that apply Early Pregnancy Consultation Private Childbirth Education/Preparation: Stages of Labor, Comfort Measures Refresher (for those with prior birth experience/s) VBAC Newborn Care Breastfeeding Preparation Private Mindful Birthing/Parenting Education Tummy Time Consultation Postpartum/Post-Arrival Consultation Grandparent Preparation Growing Family through Adoption or Surrogacy Expecting Twins/Multiples Anything else you would like us to know?PhoneThis field is for validation purposes and should be left unchanged. Founded in 1997Not just another doula or childbirth education provider... When you work with Birthways, you benefit from partnering with nationally recognized experts and the most experienced doula service provider in the Chicago area. Learn More About Our Doulas
