Postpartum Doula Agreement


We are honored to be a part of your journey into parenthood! To secure postpartum doula services, this form, along with a minimum purchase of six (6) hours of postpartum support, $150, must be received. Additional hours can be purchased directly with your postpartum doula. Before purchasing postpartum doula services, please confirm availability of your desired doula. You can learn more about our doulas on Our Team page and submit our Request A Doula form. We also invite you to attend one of our emerge… gatherings held every six weeks. Check our events page to learn about upcoming gatherings.

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    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.
    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.

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SKU: labor-doula-agreement-1