BABS

Birth and Baby Services

Offering low-cost & no-cost birth doula services

602-321-0074

Application for our low-cost & no-cost Services

Thank you for your interest in BABS supporting you with your pregnancy and birth. To begin, you will need to review the following forms:

Once you have reviewed both of these items and confirm that you are eligible to apply for our services and can confirm you agree to our prenatal visits and communication requirements, you are welcome to complete our application for services - listed below.


Please understand that even if you meet our qualifications for services, it does not guarantee services will be provided. Our selection committee reviews each application independently and based upon need and provider availability.

Application for Services

Please note: that due to the demand for our services, you MUST participate in ALL scheduled 

in-person and/or video chat meetings. If you cancel a scheduled meeting more than twice, you do not watch assigned videos or read educational material or actively participate in learning and preparing for your upcoming birth, we reserve the right to end our services with you.

Check which applies*
Check if any of these apply to you
Are you in the custody of DCS?
Please check this box if you are a minor
For Parents or Guardians for a minor*
If you are the parent or guardian to a minor and the minors application for services is approved, you agree to provide the assigned BABS birth doula team spend some time alone with the minor to work with them directly of preparing them for birth and to help build a bond with them. The BABS doula team also needs to be able to connect with the minor by text message.
Have you been receiving routine prenatal care?*
I want or am open to the following when I am in labor*
Do you agree to be an active part of learning about pregnancy, labor and delivery and participating in our prenatal meetings and read/view educational material and videos.*
I agree that if I get a restraining order against any person including the father of the baby, you will notify us right away. You also understand that BABS may not be able to support you if a restraining is in place.**
Please check all that apply to you currently or in your past
Smoking*
Alcohol*
Street drugs or abuse of prescription drugs*
Homeless*
Birthing client, how does your body display tension? Please check all boxes that apply**
Please check all that apply to the birthing client (past and present)**
Are you open to having medical students participate in your labor/delivery?*
BABS has a mentor program for new birth doulas. Are you open to having a BABS mentor student participate in your labor/delivery?*
Please check this box to understand that this is an application for BABS low-cost and no-cost services and no guarantee that services will be provided. That this completed application will be sent to the BABS review committee for determination of acceptance or denial of services*
I agree that should my/our income situation change during the time that BABS is providing services, that there may or many not be a change in payment due.
Terms of Service*
Due to the demand for our services, you MUST participate in ALL scheduled in-person and/or video chat meetings. If you cancel a scheduled meeting more than twice, you do not watch assigned videos or read educational material or actively participate in learning and preparing for your upcoming birth, we reserve the right to end our services with you.
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