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Exam Complete!

Congratulations!

You're almost done with the certification process!

Filling out this form is your next step.

Remember, the name you put into this form will be the name we print on your certificate award. It MUST BE your legal name as shown on your government issued ID.

Please submit this information and upload your required documentation here on this form.

Your exam results and submitted documentation will be evaluated by our Credentialing Team and you will be notified within 2-3 weeks if you have passed or if there is anything additional we need from you.

Please also make sure you have a current Membership Plan subscription in place. You may go here to check.

This link will open a new window so that you don't lose your spot on this page. :)

First Name

Last Name

Email

Phone

Mailing Address for Certificates

City

Region/State/Province

Postal / Zip code

Please upload a PDF of your essay question answers

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Please upload a PDF of your anatomy terms answers

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Please upload your client evaluation (Mother 1)

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Please upload your client evaluation (Mother 2)

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Please upload your client evaluation (Mother 3)

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Please upload your client evaluation (1 Partner)

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What is your business website?

What cities/counties/states should we list you as serving?

How did you originally hear about MaternityWise?

Why did you choose MaternityWise?

Optional: Do you have children?

By Checking this Box: I agree to conduct my personal practice and doula services with the utmost integrity and ethics, to represent my fellow doulas of all backgrounds in the best light possible. I acknowledge that I received education including opinions that may or may not be representative of MaternityWise’s official stance and that current recommendations/protocols are subject to change without notice and it is my responsibility to stay up-to-date with current research and practices. I pledge that I will adhere to the MaternityWise Scope of Practice a Code of Ethics. I hereby release MaternityWise International and it’s representatives of all liability in every form indefinitely because I am an independent practitioner.

Click the Submit button below.

You will be taken to a page where you will pay for your Credentialing Fee. If you do not pay this fee, your exam and credentialing application will not be processed.

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