If you are choosing to hire me as your doula, please fill out the form below & submit. I will email you a copy of the contract to keep for your records and provide you with an intake form to complete.

I have read and understand the Letter of Agreement and agree to the terms listed. I agree to take full responsibility for all health care decisions. Jennifer Lynn Frye will not be held liable for any consequence to me, resulting from decisions that I or my partner make. *
Mother's Name *
Mother's Name
Phone *
Phone
Date
Date
Deposit
I will be submitting my deposit via: