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Certification Completion Forms Packet


Packet Contains

  1. Certification Completion Form (1 PDF)
  2. Client Confidentiality Form (1 PDF)
  3. Labor and Birth Summary Form (1 PDF)
  4. Postpartum Summary Form (1 PDF)
  5. Client Evaluation Form (1 PDF)


This packet contains forms required for SMC Provisional Doulas to request certification.

Accessing Content

Once your payment is processed, you will immediately be redirected to our website to download a ZIP file containing your SMC Certification Completion Forms (18 Pages). You will need Adobe Acrobat Reader or equivalent software to view content once extracted and saved to your desktop. 

Packet Contains:

Certification Completion Checklist
Book Reports
Auditing Classes, Courses and Programs
Birth Summary Table
Postpartum Summary Table
Labor And Birth Summary
Postpartum Summary
Doula Evaluation
Client Confidentiality Release Requirements
Client Confidentiality Release

Additional Information

Number of days before download link expires:
Number of downloads available: 2


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Shafia M. Monroe, DEM. CDT, MPH
Office Number: 503-927-8357 | Email:
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