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Home
About Jaq
Doula Services
Birth Doula Care
Postpartum Doula Care
Overnight Doula Care
Spinning Babies® Birth Class
Testimonials
Contact
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YOUR CART
i'd love to hear from y'all!
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Birther's Name
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First
Last
Phone Number
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Email
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Partner's Name (if applicable)
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First
Last
Partner's Phone Number (if applicable)
*
Partner's Email (if applicable)
*
Estimated due date?
*
Text ok?
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Yes
No
Where do you plan to give birth? (choose below)
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Baystate Medical Center (Springfield)
The Birthplace at Baystate Franklin (Greenfield)
Cooley Dickinson Hospital (Northampton)
Seven Sisters Birth Center (Florence)
Homebirth
Modadnock Community Hospital (Peterborough, NH)
Fairview Hospital (Great Barrington)
Cheshire Medical Center (Keene, NH)
Brattleboro Memorial Hospital (Brattleboro, VT)
Berkshire Medical Center (Pittsfield, MA)
Other
We are seeking the following care: (choose below)
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Birth Doula Care
Postpartum Doula Care
Overnight Doula Care
Spinning Babies Private Class
A mix of the above (please explain below)
Please introduce yourself. What's important to you and your family for this birth or this postpartum period?
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