UPDATE 5/15/25 for doulas: In order to comply with new JWB requirements- please give client's full name and their email address for them to receive consent and intake forms. 

Your name can be added when you open the form when you add their HS number and address. This creates a profile in my EHR where I can automatically contact them- thank you for helping me make this change! I don't want to miss your referrals and I can’t change what’s written in the field.

You can also save this for your records if you'd like.