Doula Services And Fees Contract

The discount that Abbey has informed I/us that I/we qualify for.

If you have not taken the discount form yet please do so before filling this form out. You can find the form on the Services page of my website or this link: https://voicesofeve.net/discount-qualification-form/

The Package/Service I/we chose is:

If you have not chosen a package yet please go to the Services page on the homepage or contact Abbey.

If you are doing any add ons please select what you are adding on below (Disregard if you chose the Build Your Own Package)

Total Fee that Abbey quoted:

If Abbey has not give you a quote contact her before filling out this form.

I/We understand that If Abbey misses the labor/birth because we fail to contact her the entire fee will still be due. (Barring specific circumstances at Abbey’s discretion). The fee for Abbey’s services, through Voices of Eve: Birth ministries. *

I/We agree
I/We do not agree
I/We need more information

I/we understand that in the event that Abbey misses the birth because of an error on her part and her backup is unable to serve in her place, she can exchange the birth for 8 postpartum hours. (Abbey has never missed a birth so far) *

I/We agree
I/We do not agree
I/We need more information

Our Estimated Due Date: *

The period that Abbey is on call, meaning she will not go out of town, begins 1 week before our estimated due date (two weeks for twins or other circumstances)

I/We understand that Abbey reserves the right to go out of town or have dates of unavailability before our on-call period. But I/We also understand that Abbey will cover those dates with us before this contract signing. *

I/We understand
I/We do not understand
I/We need more information

I/We understand that the birth portion of our fee covers 12 hours of labor support and that an additional $100 will be owed for each 12 hour incriment after that.

I/We understand
I/We do not understand
I/We need more information

This helps Abbey care for basic needs like childcare and food while serving you if the labor ends up being longer than 12 hours.

Name of the primary client (the expectant mother) *

First

Last

Name of anyone else signing this contract with the mother (for instance a spouse, partner, or guardian)

First

Last

Please enter the phone number for the primary client. *

This serves as a virtual signature.

Please enter the Email for the primary client for billing info etc. *

This also serves as a virtual signature.