Your Intake Form Matters: How It Helps Us Personalize Your Doula Support
We lived it. We loved it. Now we lead it.
At Melancentric, your intake form isn’t just paperwork — it’s the first step in building a customized, meaningful support plan that centers you. Whether you’re navigating your first pregnancy or preparing to give birth again, this form helps us understand what you need, what you’ve been through, and how we can show up for you.
Why We Ask for an Intake Form
Every woman’s pregnancy journey is different — and so is the support she needs. The intake form helps us gather important details about:
Your pregnancy and medical history
Who’s on your care team (OB, midwives, etc.)
Your current emotional and physical well-being
Past births, losses, or fears
What kind of support you’re looking for (physical, emotional, informational, postpartum, etc.)
It also lets us know how you’d like to be treated — with compassion, respect, privacy, and real care.
✨ This is your space to be heard, even before we meet.
What We Use It For
Once we receive your completed intake form, we:
Create a personalized support plan
Prep for your welcome visit or prenatal appointments
Connect you to any additional resources (WIC, lactation, mental health, etc.)
Check your insurance coverage and streamline next steps (if you're using Medi-Cal)
If you're receiving bereavement, postpartum, or full-spectrum support, we use the intake to ensure we’re responding to your needs with care and clinical readiness.
What If I Don’t Know What I Need Yet?
That’s okay, you don’t have to have it all figured out. The intake form gives us a starting point. You can leave things blank or just be honest:
“I’m not sure yet.”
“This is my first time.”
“I’m still learning about what doulas do.”
We’ll take it from there.
Still Have Questions?
Sometimes, clients feel unsure about sharing certain parts of their story. That’s completely normal. Your information is private, protected, and never judged. We’re here to walk beside you, not in front of you.
If you ever want to talk through the intake form or fill it out together during your welcome visit — just ask.
Ready to Get Started?
Click below to complete your intake form and take the first step toward feeling fully supported in your pregnancy or postpartum journey.
You Deserve This Support
At Melancentric, we’ve built our model around your voice, your choices, and your story. The intake form is just the beginning of how we show up — not just as doulas, but as people who care.
