Disclaimer Form

  • First - Fill out the Contact Information Form

    This is an Feature List Item that is part of an Feature List. Notice the connector between the three graphics to show that they are related.

  • Second - Sign the E-Signature Disclaimer below

    This is an Feature List Item that is part of an Feature List. Notice the connector between the three graphics to show that they are related.

  • Third - Once your Disclaimer form is received, a doula questionnaire will be sent you so we can match you with the best possible doulas that fit your needs. Doulas are matched on a first come first served basis.

The Birth Education Center & Best Start Birth Center provide free referrals for doulas as a courtesy to you. Doulas are independent contractors and are not employees or affiliated with the birth centers. Accordingly, the Birth Education Center and Best Start Birth Centerwill not be responsible for your decision to hire a referred doula and will not be responsible for the actions or inactions of that doula. We do our best to match you with a doula but it is your choice to hire or not hire the doula suggested and your responsibility to choose the right doula for you.

The Birth Education Center and Best Start Birth Center expressly disclaim all liability for your decision to hire or not hire a referred doula. Furthermore, the Birth Education Center and Best Start Birth Center make no claims, promises, warranties or guarantees about the abilities of any referred doula.

Under no circumstances shall the Birth Education Center and Best Start Birth Center be liable for any direct, indirect, incidental, special, punitive or consequential damages that result in any way from your decision to hire or not hire a referred doula or the actions or inactions of any referred doula.

E-Signature




Contact Information






State:

Due Date: