tiara@totalmaternalsupport.com
Timely completion is imperative. We look forward to supporting you!
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Contract Form
Contract Form
Contract Form
Please read this form thoroughly, it establishes the basis for our working relationship and lays out the boundaries and expectation for us both
Intake Form
Contract Form
Contract Form
Please take your time and complete this form with transparency and intention as it helps me to get to know you and guides how I show up for you and support you
Completion Required To Establish A Working Relationship
Please Take Your Time and Complete Your Intake Form
Complete to Secure Birth Pool
Service Areas
The Piedmont Triad of NC and select surrounding areas!
Cities: Winston-Salem, Greensboro, High Point, Kernersville, Thomasville, AND Salisbury
Counties: Alamance, Caswell, Davidson, Davie, Forsyth, Guilford, Montgomery, Randolph, Rockingham, Stokes, Surry, and Yadkin
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If you are in need of resources dial 211 on your phone.
Available 24/7/365 in 180 Languages
If you are experiencing financial issues that are barriers to obtaining doula support specifically and/or don't qualify for Medicaid? Apply for a grant to cover services through the Black Equity Fund with Dove and/or the Birthing Justice Care Fund of Sistersong.
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We are gearing up for the 🍯2nd annual Sweet As Can bee🐝🐝 community resource fair & baby shower. We are looking for:
- Volunteers
- Queen Bees to honor
- Sponsors
- Donations of Baby items
- Vendors