Contract for Postpartum Doula Services (including Overnight)
This agreement is between Nancy Hill, CPD (1616 Fairway Drive, Belmont, CA 94002), and
_____________________________________for the purpose of providing postpartum doula care.
Responsibilities and Limitations of the Doula
Your doula agrees to provide non-medical physical, emotional and informational support after the birth of your baby.
Your doula will help with self-care, recovery, postpartum comfort measures, infant care, parenting information, and provides assistance with learning to feed and take care of your baby. Practical support will include preparing snacks, getting frequent drinks, doing dishes and laundry. The tasks provided by the doula each day/night will depend on the priorities discussed by all parties before beginning services, and on your particular needs that day/night.
The postpartum doula does NOT diagnose any medical conditions for mother or baby, but will refer you to an appropriate health care provider, if she notices anything of concern. She does NOT do major housecleaning tasks, such as mopping, washing windows or yard work. Postpartum doula will not transport clients or take over all care of the baby.
Prior to signing this agreement, the doula shall disclose any potential scheduling difficulties she anticipates which may interfere with services. Clients are on a first come, first served basis. If the doula is ever unable to provide any postpartum support due to unpredictable scheduling conflicts, she agrees to either find a replacement doula or refund the deposit. There are occasionally events which are unpredictable and may affect the dates previously agreed upon. In the event of illness or emergencies for either party or severe weather, every effort will be made to reschedule services at another time. If any payment for that day has already been made, it will be applied to future services.
Fees for Services
A deposit of $ (= 2 weeks of anticipated hours) will be due upon agreement of this contract. This deposit will be applied to the last 2 weeks of care. Payment is usually every 2 weeks. In the event that you choose not to utilize doula services, the deposit will not be refunded. Services are expected to begin around the date of ______________. The doula requires at least 48 hours notice prior to beginning services, preferably will be notified upon birth of the baby. The minimum number of hours per night is 6, and minimum number of nights of service is 1.
The cost of service is $300 / 8 hr Overnight shift. Payment is made in advance to reserve your space. The doula is available for prenatal consultation to address concerns and learn the needs of the expectant family. The charge for a consultation is $0.00.
This agreement is meant to be fair to both parties, so that all parties may feel secure in their mutual commitment. In signing this contract, you agree to pay for services on the days that are mentioned above. In return, the doula commits to provide these services and not to accept future postpartum clients which would interfere with her ability to perform the scheduled services.
___________________________________________________________________
Date
Doula
____________________________________________________________________
Date
Client
This agreement is between Nancy Hill, CPD (1616 Fairway Drive, Belmont, CA 94002), and
_____________________________________for the purpose of providing postpartum doula care.
Responsibilities and Limitations of the Doula
Your doula agrees to provide non-medical physical, emotional and informational support after the birth of your baby.
Your doula will help with self-care, recovery, postpartum comfort measures, infant care, parenting information, and provides assistance with learning to feed and take care of your baby. Practical support will include preparing snacks, getting frequent drinks, doing dishes and laundry. The tasks provided by the doula each day/night will depend on the priorities discussed by all parties before beginning services, and on your particular needs that day/night.
The postpartum doula does NOT diagnose any medical conditions for mother or baby, but will refer you to an appropriate health care provider, if she notices anything of concern. She does NOT do major housecleaning tasks, such as mopping, washing windows or yard work. Postpartum doula will not transport clients or take over all care of the baby.
Prior to signing this agreement, the doula shall disclose any potential scheduling difficulties she anticipates which may interfere with services. Clients are on a first come, first served basis. If the doula is ever unable to provide any postpartum support due to unpredictable scheduling conflicts, she agrees to either find a replacement doula or refund the deposit. There are occasionally events which are unpredictable and may affect the dates previously agreed upon. In the event of illness or emergencies for either party or severe weather, every effort will be made to reschedule services at another time. If any payment for that day has already been made, it will be applied to future services.
Fees for Services
A deposit of $ (= 2 weeks of anticipated hours) will be due upon agreement of this contract. This deposit will be applied to the last 2 weeks of care. Payment is usually every 2 weeks. In the event that you choose not to utilize doula services, the deposit will not be refunded. Services are expected to begin around the date of ______________. The doula requires at least 48 hours notice prior to beginning services, preferably will be notified upon birth of the baby. The minimum number of hours per night is 6, and minimum number of nights of service is 1.
The cost of service is $300 / 8 hr Overnight shift. Payment is made in advance to reserve your space. The doula is available for prenatal consultation to address concerns and learn the needs of the expectant family. The charge for a consultation is $0.00.
This agreement is meant to be fair to both parties, so that all parties may feel secure in their mutual commitment. In signing this contract, you agree to pay for services on the days that are mentioned above. In return, the doula commits to provide these services and not to accept future postpartum clients which would interfere with her ability to perform the scheduled services.
___________________________________________________________________
Date
Doula
____________________________________________________________________
Date
Client