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 me.

Total Fee that Abbey quoted:

If I have not given you a quote contact me before filling out this form.

I/We understand that If Abbey is unable to deliver services to us because we fail to contact her the entire fee will still be due. (Barring specific circumstances at Abbey’s discretion). *

I/We agree
I/We do not agree

Depending on the circumstances some postpartum services hours may be offered in place of birth services.

I/We understand that if I/We choose to cancel services at any point that 50% of the total fee is still due.

I/We Agree
I/We do not agree

This is because there are expenses to serving as your doula and because your spot is held on my calendar so I am unable to book other clients.

I/we understand that in the event that Abbey is unable to deliver services to us because of an error on her part and her backups are unable to serve in her place, she will offer to exchange services to replace or offer a refund depending on the circumstances, and at Abbey's discretion. *

I/We agree
I/We do not agree

I am always flexible and try to serve as best I can and when that is not possible I will refund. I want all clients to be happy with their experience with my services.

Our Estimated Due Date: *

The period that I am on call, meaning I will not go out of town, begins 2 weeks before your EDD and ends 2 weeks after baby is born.

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
My/Our service does not require an on-call period

The on-call period is for clients that are receiving services through labor and/or birth. All others can select the third options.

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
My/Our service does not include labor and/or birth services

This helps me care for basic needs like childcare and food while serving you if the labor ends up being longer than 12 hours. I am always flexible and so far I have never had to implement that charge!

Name of the primary client *

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.