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BIRTH
DOULA TRAINING
POSTPARTUM
DOULA TRAINING
END-OF-LIFE
DOULA TRAINING
DOULA
CERTIFICATION
DOULA BUSINESS
DEVELOPMENT
DIRECTORY &
RESOURCES
ABOUT &
CONTACT US

Submit Your Cross Certification Application

Choose the appropriate Birth, Postpartum, or End-of-Life Doula application below.
Once you submit your application, you will receive your certificate within two weeks.

Birth Doula Cross Certification Application

"*" indicates required fields

NAME (as you would like it to appear on your certificate)*

STREET ADDRESS (where you want certificate sent)*

CITY, STATE, ZIP CODE*

PHONE NUMBER (in case we have questions)*

EMAIL*

BIRTH DOULA TRAINING COMPLETED WITH . . .*

WAS YOUR DOULA TRAINING AT LEAST 16 HOURS IN LENGTH?*

YES

YEAR YOU COMPLETED DOULA TRAINING*

YOUR NAME AT THE TIME YOU TRAINED (IF DIFFERENT)

DID YOU COMPLETE A MINIMUM 3-HOUR COURSE IN BREASTFEEDING BASICS?*

YES

BREASTFEEDING CLASS COMPLETED WITH . . .*

REQUIRED READING CHECKLIST*

Please check the books you have read.

The Birth Partner, 5th Edition, by Penny Simkin

Breastfeeding Made Simple, by Mohrbacher and Kendall-Tackett

Natural Hospital Birth, 2nd Edition, by Cynthia Gabriel

The Doula Business Guide, 3rd Edition, by Patty Brennan

I AGREE TO ABIDE BY THE LIFESPAN DOULAS SCOPE OF PRACTICE*

YES

CERTIFICATION EXAM SCORE*

I AFFIRM THAT MY ANSWERS ABOVE ARE TRUE.*

I am hereby applying to be a certified birth doula through Lifespan Doulas.

Postpartum Doula Cross Certification Application

"*" indicates required fields

NAME (as you would like it to appear on your certificate)*

STREET ADDRESS (where you want certificate sent)*

CITY, STATE, ZIP CODE*

PHONE NUMBER (in case we have questions)*

EMAIL*

POSTPARTUM DOULA TRAINING COMPLETED WITH . . .*

WAS YOUR DOULA TRAINING AT LEAST 16 HOURS IN LENGTH?*

YES

YEAR YOU COMPLETED DOULA TRAINING*

YOUR NAME AT THE TIME YOU TRAINED (IF DIFFERENT)

REQUIRED READING CHECKLIST*

Please check the books you have read.

The Baby Book, revised edition, by Sears

The Fourth Trimester Companion, by Cynthia Gabriel

Depression in New Mothers, by Kathleen Kendall-Tackett

The Womanly Art of Breastfeeding, 8th Edition Revised, by Wiessinger, West, and Pitman

The Doula Business Guide, 3rd Edition, by Patty Brennan

I AGREE TO ABIDE BY THE LIFESPAN DOULAS SCOPE OF PRACTICE*

YES

CERTIFICATION EXAM SCORE*

I AFFIRM THAT MY ANSWERS ABOVE ARE TRUE.*

I am hereby applying to be a certified postpartum doula through Lifespan Doulas.

End-of-Life Doula Cross Certification Application

"*" indicates required fields

NAME (as you would like it to appear on your certificate)*

STREET ADDRESS (where you want certificate sent)*

CITY, STATE, ZIP CODE*

PHONE NUMBER (in case we have questions)*

EMAIL*

END-OF-LIFE DOULA TRAINING COMPLETED WITH . . .*

WAS YOUR DOULA TRAINING AT LEAST 16 HOURS IN LENGTH?*

YES

YEAR YOU COMPLETED DOULA TRAINING*

YOUR NAME AT THE TIME YOU TRAINED (IF DIFFERENT)

REQUIRED READING CHECKLIST*

Please check the books you have read.

Being Mortal, by Atul Gawande

Stepping Stones, by Ellie Atherton

Accompanying the Dying, by Deanna Cochran

My Final Wishes, by Threshold Care Circle

I AGREE TO ABIDE BY THE LIFESPAN DOULAS SCOPE OF PRACTICE*

YES

CERTIFICATION EXAM SCORE*

I AFFIRM THAT MY ANSWERS ABOVE ARE TRUE.*

I am hereby applying to be a certified end-of-life doula through Lifespan Doulas.

Patty Brennan, Doula Trainer, Author, Owner
Ann Arbor, MI
patty@lifespandoulas.com | 734-663-1523

FIND A DOULA

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Name*
First Name Last Name
Email*
What type of doula work are you interested in?*
- Birth/postpartum topics
- End-of-life topics
Phone
This field is for validation purposes and should be left unchanged.

Submit Your Cross Certification Application

Choose the appropriate Birth, Postpartum, or End-of-Life Doula application below.Once you submit your application, you will receive your certificate within two weeks.

Birth Doula Cross Certification Application

Postpartum Doula Cross Certification Application

End-of-Life Doula Cross Certification Application

Sign up for our monthly newsletter!

Choose the appropriate Birth, Postpartum, or End-of-Life Doula application below.
Once you submit your application, you will receive your certificate within two weeks.