Postpartum Doula Agreement Form

We are honored to be a part of your journey into parenthood! This form helps us clarify our role as your doula support. To secure your spot on our calendar we need this form to be complete in addition to receiving full payment of $150 for 6 hours of postpartum care. Postpartum doula fees are $25 per hour, with a six (6) hour minimum. After submitting this form you will be redirected to a page to complete payment via Paypal. Before purchasing postpartum doula services, you need to make sure the doula is available for your due date. You can learn more about our doulas on our meet us page and email us with your interest. Alternatively, we host a gathering of doulas and perspective clients every other month. Check our events page to learn about upcoming gatherings.
  • Your postpartum doula will: Provide physical, emotional, and educational support during the weeks after your child’s birth. Respect your role as caregiver and decision-maker for your baby, supporting the parenting choices you make. Help you maintain a calm and peaceful household. Share her skills in baby soothing, swaddling, and more, if desired. Assist with household chores, errands, cooking, and childcare for siblings, as needed and if requested. Support your breastfeeding relationship, if that is what you choose. While emerge... postpartum doulas are not International Board Certified Lactation Consultants, they are trained and experienced in the management and support of the breastfeeding process. Frequently, this is all that is needed to overcome breastfeeding issues, should they occur. If more is required, they will refer you to a breastfeeding counselor or IBCLC, if you desire. Will recommend you consult with your provider about medical issues. Her role is clearly defined as non-medical in her postpartum doula scope of practice. Keep all your records strictly confidential. ***Colleen Goidel offers a discount for clients who contract her as both their labor and postpartum doula. Rosalee Henry offers a variety of additional services, including night nursing. ***
  • Fees: Postpartum doula fees are $25 per hour, with a six (6) hour minimum. To secure your doula, simply return this completed agreement with full payment of $150. You may prepay for more hours if you prefer. After the prepaid hours, you and your doula will arrange payment and hours of service directly. Should you cancel after entering into this agreement, but prior to your 36th week gestation, your fee will be refunded, less a $50 retainer fee to compensate your postpartum doula for blocking out your postpartum hours, which may result in turning away other clients. After 36 weeks, all fees are nonrefundable. Please contact emerge... to check the availability of the doula you prefer.