Doula Client Agreement – Voices of Eve

For a doula to be the best service for you it helps to understand the scope of what a doula does. The following are your doula's responsibilites Please read and check all the boxes. *

A doula accompanies a woman in labor to help ensure a satisfying birth experience by providing physical, emotional, and educational support.
A doula works for us, not our care provider or the hospital/birthing center.
a doula does not perform medical tasks.
a doula will help us make decisions by providing information and support.
Abbey will be on call for you 24 hours a day beginning 2 weeks before your estimated due date and ending 2 weeks after your EDD. This means that she will: Always carry her cell phone and will not leave the DFW Area during the on call period.
Abbey will provide 1-3 prenatal visits in your home or other meeting place if you choose. (If you are using virtual services prenatal visits will be over phone or internet) At these visits she will: Help form a birth plan, discuss our choices, go over coping measures, and discuss risks/benefits of various choices.
Abbey will provide continuous labor support from the time you ask her to come (or the time you choose for video or phone support to begin for virtual doula services) until the after the baby is born. She will not leave unless you ask her to, and even then, will be available by phone (only exception is short periodical breaks). Abbey will take turns with your other support persons taking a naps/breaks when needed.
Abbey will provide 1 postpartum visit to discuss the birth, answer questions, and provide breastfeeding support. This meeting is scheduled at your convenience, either at a convenient location, your home, the hospital, or via phone call.

This portion is to assert that you understand that what you put into doula services will strongly effect what you get out of doula services. please read and check all of the boxes. *

I/We understand that Abbey has backups and the fees for those back ups is $400 and will be taken out of our fee. (If we received a discount that does not afford offering a backup this amount we may be unable to have a backup)
I/We will keep Abbey informed about our pregnancy as it develops.
I/We will contact Abbey as soon as we think we might be in labor, and to keep her informed as the labor develops even if we do not need her to come yet.
I/We will contact Abbey when we feel we need her, and understand that it may take 1-2 hours for her to reach us
I/We will discuss our preferences with Abbey and clearly state our choices to her. She will support us in any decision we make.
I/We understand that this is our birth, while everything Abbey does is aimed in helping us have our desired choices and outcomes, that can only happen if we clearly understand our options, ask questions, and state our choices/opinions to her and our health care providers.
I/We understand that birth is unpredictable and Abbey or anyone else do not have control over
If Abbey misses the labor/birth because I/we fail to contact her the entire fee will still be due. (Barring specific circumstances at Abbey’s discretion).

Name of the primary client (The pregnant mother) *

First

Last

Name of any person signing this contract with you (like a spouse or person you plan on attending the labor with you like a relative or friend) *

First

Last

THis is not a required field if your doula will be your only birth attendant.

Email of the primary client (the pregnant mother) this will be used for billing information etc. *

This acts as a digital signature

Please enter the date you filled this form out. *