End-of-Life Doula Consultation Request Form

Compassionate End-of-Life Support Starts Here

Making arrangements for end-of-life care is one of the most meaningful and challenging journeys families face. Our End-of-Life Doula Consultation Request Form provides a gentle, respectful way to begin this important conversation and connect with compassionate care.

Why Use This Form Template?

End-of-life doulas provide non-medical support, guidance, and presence during life's final chapter. This form template helps practitioners gather essential information about client situations, family dynamics, advance care planning, and spiritual preferences—all while maintaining the dignity and sensitivity this work requires.

For hospice providers, palliative care professionals, and independent end-of-life doulas, Paperform makes it easy to create intake forms that feel warm and personal rather than clinical. The form includes conditional logic to tailor questions based on individual circumstances, ensuring you collect relevant details without overwhelming clients or families during an already difficult time.

Streamline Your Practice with Integrated Scheduling

This template includes Paperform's built-in appointment scheduling, allowing families to book initial consultations directly within the form. No need for back-and-forth emails or separate booking tools—everything happens in one compassionate, brand-aligned experience.

Need to collect a consultation fee or deposit? Connect Stripe or PayPal to accept payments securely. Want to formalize your services with a signed agreement? Use Papersign to send service agreements for eSignature immediately after form submission, creating a seamless onboarding experience.

Automate Follow-Up and Care Coordination

Once a consultation request is submitted, you can use Stepper to automate your intake workflow: send personalized welcome emails, add clients to your CRM, notify your team, schedule follow-up tasks, and update care coordination spreadsheets—all without manual data entry.

For practices serving multiple clients or operating across locations, Paperform's Agency+ and Enterprise plans offer client management, team permissions, and SOC 2 Type II compliance to ensure sensitive end-of-life information is handled with the highest security standards.

Designed for Compassionate Care

This form balances thorough information gathering with emotional sensitivity, using clear language and optional fields that respect where families are in their journey. Whether you're an established hospice organization or an independent death doula building your practice, this template helps you meet clients with professionalism, warmth, and care from the very first touchpoint.

Start with this template, customize it to reflect your unique approach to end-of-life support, and create an intake experience that honors both your expertise and the families you serve.