POSTPARTUM DOULA SERVICES AGREEMENT

Postpartum Practical support can include:

• Support with all infant feeding (breast, chest, bottle, formula)

• Newborn care – the parents/family's choices and learning process.

• Meals - Cooking, snacks, grocery shopping, family-friendly food

• Errands

• Assistance with other family and/or pets in the house

• Laundry -Unbelievable amounts of laundry

• Care for the newborn while you take time for personal care and/or other tasks you need both hands for.

• Peace of mind for partners, family and friends after they return to work.

• Evidence-based information to support you in making the best decisions for your family

• Light housework

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Physical Support Responsibilities:
The tasks I perform each day/night will depend on the priorities discussed by all parties before beginning services, and on your particular needs that day/night. Part of my responsibility as a trained professional is to ensure the safety and well-being of all members of the family I have been hired by. In the event that I am witness to any instances of abuse or neglect, I have an obligation to report it to the relevant and appropriate authorities and family services. I agree to be clear and forthcoming about any concerns.
In the event that I feel unsafe or threatened in the home, I reserve the right to leave immediately and terminate further services without penalty and with no obligation to provide any kind of refund or replacement of services.
*It is important to note that as a Doula it is not within my scope to provide childcare while a parent is not in the home, to do any heavy cleaning or organizing, or to give any medical advice with regards to your postpartum healing.

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Privacy Statement: 

All of your personal information will be kept private and will never be shared with anyone. and will be used solely to help me best support you.
I agree to take care of your personal information after the conclusion of our contract unless you give your express permission to keep it on file for future services should you want them. You can omit any sensitive information from the intake questionnaire that you are uncomfortable disclosing.​

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The minimum number of hours for overnight shifts (should you require them) is 4 hours, and the fee is $40/ hour. 

If there are multiples (twins or triplets) the cost of service is $40/ hour for day or evening support and $45/ hour for overnight. 

I will disclose any potential scheduling difficulties I anticipate which may interfere with services and work with you to ensure you still receive the care you require. In the event of illness, emergencies or other unexpected and or extraordinary circumstances, for either party, every effort will be made to reschedule services at another time. If any payment for that day has already been made, it will be applied to future services.

I require 24 hours' notice to cancel a shift without penalty. After 3 cancellations a $45 rescheduling fee will be applied.

This contract has been reviewed and agreed to by the following persons designated by their signatures below: