Healthy Parents & Babies Application Form

Thank you for your interest in enrolling in our Healthy Parents & Babies program, in Illinois.

We serve families prenatally through birth, and up to age 3 for their children. Persons must be pregnant to qualify for doula services, but can be of any age and at any stage of their pregnancy. Parents can qualify for our home visiting services at any point post-birth through the age of 3 for their children. To get started in the enrollment process, please complete this initial application form and someone from our team will be in touch with you within 3-5 business days.

Note: Participation is not limited to first-time parents or new participants, but everyone must meet Early Head Start income eligibility guidelines in order to qualify.

See Eligibility Guidelines

By providing your zip code, we are able to share resources and program referrals relevant to your location.
It looks like you selected that you do not meet the income requirements according to the federal poverty guidelines, which means you will not be eligible for Healthy Parents & Babies services. We appreciate your interest but will not be able to process your inquiry. 
If you are unsure if you meet our income eligibility standards, please review the federal poverty guidelines to make your determination, or please reach out to our team at 773-312-7881, or email, to help in this determination.
If you are not currently pregnant, but do have a child, or children, Healthy Parents & Babies serves children and their families through age 3 for our home-based, home visiting services. If you are looking for center-based child care for children ages birth - 5, please visit our Early/Head Start Network child care page for more information.
What is your expected due date?*
What is your child's birthday?*
If you are enrolling more than one child, please click "enroll another child" to include their information.
It looks like you selected that you are neither pregnant, nor have a child who is 3 and under that you would like to enroll, which means you will not be eligible for Healthy Parents & Babies services. Looking for home or center-based child care for your child? Please visit our Early/Head Start Network child care page for more information on our community based agencies that serve children and their families up to the age of 5. 
If you have additional questions, please call 773-312-7881 or email

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