Stay with a spreadsheet when...
You only need a private list, have very few records, and are comfortable managing every related form, file, message, and reminder separately.
A spreadsheet can be useful for a simple list. As your practice grows, client forms, agreements, messages, appointments, invoices, and birth plans need a connected workflow with clear access and fewer manual handoffs.
You only need a private list, have very few records, and are comfortable managing every related form, file, message, and reminder separately.
You re-enter the same client details, chase documents, lose context across tools, or want clients to have one clear place to participate.
Keep the source records you need, confirm client details, and migrate active workflows first. Do not move sensitive information into any tool before reviewing its security and privacy practices.
DoulaOS is currently free during early access, so you can evaluate the workflow with your own practice before deciding whether it replaces your spreadsheet.