Contract of Services for Doula Support

As a Birth Doula, my role is to accompany women in labor to help ensure a safe and satisfying birth experience. I will draw upon my knowledge and experience to provide emotional support, physical comfort and the information you need to make informed decisions as they arise in labor. I can provide reassurance and perspective to you and your partner, make suggestions for labor progress, and help with relaxation, massage, positioning and other techniques for comfort. I will support you to my fullest in facilitating the kind of birth you have envisioned for yourself and your family. I am independently self-employed.  As your doula, I am working for you, not your caregiver or hospital/birth center.


I prefer to meet with you and your partner at least twice before labor to become acquainted, to explore and discuss your priorities and any fears or concerns. We may also discuss evidence-based information on the risks and benefits of common interventions and procedures used during childbirth, your birth preferences and your vision for my role as your doula.

I will have a backup Doula chosen that you will have an opportunity to either meet in person or over the phone. She will be available during the same time frames as myself, 24 hours a day, two weeks before your estimated due date until your birth. You will have her contact information in the case that I am unreachable or have become unavailable when you go into labor.


I prefer that you call me when you think you are in labor, even if you do not need me yet. This gives me time to clear my calendar for the next 24 hours and arrange for childcare. I can answer questions and make suggestions over the phone, and we can decide if I should come to you then, or wait for further change. I usually need approximately 1-2 hours to get to you from the time you ask me to come, considering your location. We will also decide where to meet (home or hospital). Except for extraordinary circumstances, I will remain with you throughout your labor and birth.


I usually remain with you for one or two hours after the birth, until you are comfortable and your family is ready for quiet time together. I can also help with initial breastfeeding. I am available to answer questions about the birth or your baby, and I will schedule a postpartum visit within a few weeks of the birth to visit you and the baby, review the birth, and get feedback from you about my role.


As a Dona trained Birth doula, I am not trained or authorized to:

1.     Perform clinical tasks, such as taking blood pressure, fetal heart checks or vaginal exams, or other procedures that fall under the legal definition of practicing medicine. I am there to provide only physical, emotional and informational support.

2.     Make decisions for you. I will help you get the information you need to make an informed decision. I will also remind you if there is a departure from your birth plan.

3.     Speak to the staff on your behalf. I will discuss your concerns with you and suggest options, as well as encourage you to voice your opinions, questions and concerns to the staff.

Full Fee for Birth Doula Services


For the services described here

- 2 prenatal visits

- Pregnancy and postpartum support via email and phone

- On call 2 weeks before and after estimated due date

- Continuous support during labor and birth

- Postpartum support directly after birth

- Postpartum visit within weeks of birth

$100 Deposit

Signing the contract and payment of the deposit secures your estimated due date on my schedule. I will be on call 24 hours a day 2 weeks before and 2 weeks after your date. You are welcome to contact me with any questions or concerns via phone or email during this time from 7 am to 9 pm, unless you believe you are in labor or should an emergency arise.


This payment is due by the end of your 37th week (two weeks before your due date). If your fee has not been paid in full two weeks prior to your due date, I am not obligated to be present at the birth.


Name *
Estimated Due Date *
Estimated Due Date
Electronic Signature: