A straightforward one-page form is perfect for obtaining a clear overview of your client's current situation and the type of support they need, featuring a series of questions that can be expanded upon. There’s also a second page for notes included.
You can personalize it by adding your logo and business information, as well as customizing the questions to align with your services.
Additionally, this intake form is available as part of a bundle that includes an End of Life Agreement and an invoice.
[May not be suitable for doulas in the USA]
End of Life Intake Form
We, Doula Wise (ABN 60 561 905 033), are not a legal firm. We offer a document creation service and do not provide legal services. By using our online document creation service, you acknowledge that you are not receiving legal advice from us and that no contract for legal services is formed, and you accept the following terms and conditions. You recognise that the copyright in our forms belongs to us, that you must only use forms purchased from us for your own purposes, and that you must not on-sell these forms, or variations of our forms, to others. If you do, you acknowledge that we will be entitled to all money you receive from on-selling our forms as reasonable compensation for our losses. You are solely responsible for the content that you enter in our forms and its resulting effect and we disclaim all warranties in relation to our service, implied or otherwise. We limit our liability to you in any event to the amount of fees that we receive from you. By using our service and creating online forms for doula services, you acknowledge that you agree to the above terms and conditions and our disclaimer.