Application for Financial Assistance
Use this form to apply for financial assistance for out-of-hospital birth with a certified nurse midwife or to hire a doula for in-hospital birth. Our out-of-hospital birth assistance is $3000, our doula assistance is $500.
We suggest filling this out application out on a computer as you'll need to upload documents at the end of the application. If you are unable to upload here or while filling this out on a mobile device, you can email the documents to office@communitybirthfund.org.
Applications are accepted from the 1st-20th of each month. Applications are reviewed starting the 20th of the month and decisions are emailed the first week of the following month.
To be eligible, you most be a pregnant woman living in the Permian Basin who can prove financial need.