Doula Requests for Providers

The following forms are intended for providers, nurses, social workers and other staff to request a doula for their patients and clients.

On-Call Swedish Doula

For patients currently admitted and/or awaiting or currently in labor.

Request an on-call doula


Referral for a Subsidized Swedish Doula

For patients/clients with active Medicaid/Apple Care.

Request a subsidized doula


Swedish Bereavement Doula

For patients/clients experiencing the loss of a baby.

Request a bereavement doula