Let’s have a chat to see if we are a good fit! I’m looking forward to it. When booking a consult, I highly encourage partners be present (if applicable) for our visit, to see if we would make a good birth team!

Name

First Name

Last Name

Partner Name

First Name

Last Name

What are your pronouns?

Email

Phone

(###)

###

####

Where did you hear about me?

Estimated due date

MM

DD

YYYY

What Service(s) are you interested in?

Check all that apply

Doula Support

Birth Photography

Both doula support & Photography

Other Photography Services

What city and neighbourhood do you live in?

Have you given birth before?

Where do you hope to have your baby?

Who is your care provider? (Midwife, Dr, etc)

Is there anything else you'd like me to know?

Let’s Connect

Holding Space Birth Services