Postpartum Doula Agreement

Postpartum Doula Agreement
Doula's Name *
Parent(s) Names *
Due Date (or anticipated month of service)
Address *

Street Address

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City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail
Select the desired package

12 hours (2-4 visits) - $450 24 hours (4-8 visits) - $875 48 hours (8-12 visits) - $1700 8 hour night (3 visits) - $1000 12 hour night (3 visits) - $1500 Custom 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 client should provide the postpartum doula with 48 hours notice of needing in-person services Your doula will be available for up to 6 hours a day (with a 3 hour minimum per day) beginning at your discharge from the hospital. If extended hours are requested (more than 6 hours at one time), another postpartum doula may be engaged to split the day. 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. There is a non-refundable fee of $225 if services are canceled before 37 weeks. If services are cancelled after 37 weeks 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 @Delandra-Vinson (no processing fee) Zelle - send payment to 678-923-6566 (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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