Confidentiality of medical and personal information obtained during the course of the doula’s work is
of the utmost importance. It is my desire to protect and honor your privacy while sharing and encouraging others if/when the client desires.
Statement of Confidentiality:
I give my permission, for my doula to take notes about me, including personal information I choose to disclose to her, and information regarding the labor and birth of my child.
I realize that this information will be shared with the doula that is provided back up support.