(1) To apply for a birth doula certification, an applicant shall demonstrate knowledge of culturally congruent ancestral practices, training, and education that upholds culturally congruent care as defined in WAC 246-835-010(2).

(2) Culturally congruent ancestral training or experience may include, but is not limited to:

(a) History of obstetrics; such as erasure of granny midwives and indigenous birth work;

(b) Trauma-informed care;

(c) Social determinants of health;

(d) Adverse childhood experiences; or

(e) Other training and education that enhances the applicant's knowledge of culturally congruent care or culturally congruent ancestral practices, training, and education.

(3) Documentation of completion must include:

(a) An attestation that they have successfully completed a training or have experience in one of the categories in subsection (2) of this section; or

(b) A certificate of completion from a relevant training that lists the applicant's name.