Postpartum Doula Agreement

Postpartum Doula Agreement
Doula's Name*
Parent(s) Names*
Due Date (or anticipated month of service)
Number of newborns in the home

123
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail
Select the desired package

12 hours (2-3 visits) - $45024 hours (4-6 visits) - $87548 hours (8-12 visits) - $17008 hour night (3 nights) - $100012 hour night (3 nights) - $1500Custom package
Please check the box to acknowledge the following:

Postpartum doulas provide guidance to the parents including, but not limited to: infant bathing, feeding, soothing techniques, and baby wearing.Postpartum doulas provide assistance in the home including, but not limited to: gathering and washing laundry, washing and putting away dishes, sweeping, and dusting.Postpartum doulas may cook meals upon request, if client provides clear verbal or written instructions on how to prepare the food.Postpartum doulas do not do the following: offer medical advice, diagnose medical conditions, take over care of baby in parents' absence,The parents should notify the postpartum doula of baby's birth. This gives the postpartum doula a heads up that you will be scheduling your time hours soon.The client should provide the postpartum doula with 48 hours notice of needing in-person servicesYour doula is available for shifts of 4 to 6 hours per day.If extended hours are requested (more than 6 hours at one time), another postpartum doula may be engaged to share the shift.All postpartum hours should be used within 8 weeks of the client's due date, the date the baby comes home, or the package purchase date, whichever is later. The selected doula can not guarantee availability beyond 8 weeks.Fees listed are for a single infant. Packages are +$50 for each additional infant.There is a non-refundable fee of $225 if services are canceled before your due date.If services are cancelled after your due date due to no fault of the doula, all payments are non-refundable.If your preferred doula is unavailable, a backup doula will be provided.Issues, cancellations and refund requests should be sent to delandra@alaboroflove.org for resolution.
Payment Methods: We accept several methods of payment. Some methods incur an additional processing fee. Please indicate your preferred method of payment. An electronic statement will be generated and emailed to you to keep track of all payments.

Venmo - send payment to @Laborofloveatl (no processing fee)Zelle - send payment to 770-241-2078 (no processing fee)CashApp - send payment to $laborofloveatl (no processing fee)Electronic Invoice - processing fees apply as listed
Consent to Include Apprentice - Labor of Love has apprentice doulas who appreciate having the opportunity to shadow prenatal visits, client communication, births, and postpartum support. This is at no additional cost to you. Let us know if you are willing to allow a doula to shadow any part of your experience.
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