Requesting a Doula or Support Person | Violet Sheet | Fillable and Printable PDF
Because the right support in the room can change everything.
This printable Violet Sheet package is designed to help women prepare to request a doula or support person for labor and delivery. Having the right support in the room during labor and birth can change everything — yet many women aren’t sure how to make the request or navigate hospital policy.
In the weeks before delivery, this guided tool helps you name why support matters to you, prepare your request, and get clear answers on policy before the big day.
Built using the Rooted in Violet ROOT Framework, this resource is especially designed to support Black women and women of color who want a support person or doula present during birth.
Inside this printable toolkit: ✔ reflection prompts on why a doula/support person matters to you ✔ request statement worksheet ✔ hospital policy question checklist ✔ follow-up tracker and ready-to-use advocacy script ✔ printable PDF instant download
Perfect for:
women planning to bring a doula or support person to birth
women unsure how to navigate hospital support-person policies
Black women advocating for culturally supported birth experiences
doulas helping clients prepare their request
anyone wanting structured language before delivery day
What this toolkit helps with This package helps you:
reflect on why support matters to you personally
state your request and reasons clearly
ask about hospital policies, restrictions, and requirements in advance
track paperwork, next steps, and provider responses
Created by Rooted in Violet & Co., this Violet Sheet is designed to support women in securing the support they need in the room, well before labor begins.
Format Printable PDF · Instant digital download · Guided advocacy sheet + script
Important Disclaimer This resource is for educational and self-advocacy purposes only and is not medical advice. Always confirm current policies directly with your delivery facility.
Refund Policy Due to the digital nature of this product, all sales are final and non-refundable. Please read the full description before purchasing. If you have trouble accessing your file, contact us within 7 days so we can help resolve the issue.