Angel Touch Doula
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                           Angel Touch Doula Birth Contract

 

The following contract is between the clients: __________________________________

__________________________________________________________________________

and Kim Racette – Birth Doula d/b/a Angel Touch Doula.

 

  1. I will provide continuous emotional and physical support to Client in labor. I will provide reassurance and perspective to Client and Partner, make suggestions, help with relaxation, positioning, pain-coping, and other techniques for labor.

  2. I will provide 1-2 prenatal consultations in order to become acquainted and explore Client’s priorities, fears, expectations and concerns. I will also discuss Client’s preferences regarding pain medication and newborn care.

  3. I will be available by phone or email for questions the client might have during her pregnancy.

  4. I ask that the Client calls when she suspects labor may be beginning, even if she does not yet need my support, so that I can arrange things and be there when you need me. I will make every effort to arrive at the birthplace within an hour of the Client’s call to let me know that labor is progressing and they need my assistance.

  5. I will have in place a back-up doula in case I am unable to attend the Client’s birth due to an unforeseen emergency, or in the case of an unusually long labor.

  6. After the birth I will stay with the Client and family for one or two hours after the birth, until Client is comfortable and family is settled in for quiet time together. I can also help to initiate breast-feeding.

  7. I will provide a post-partum visit within the first few weeks after the birth.

  8. Services I will NOT provide:

    1. Will not perform clinical tasks, such as blood pressure, fetal heart checks, vaginal exams, etc.

    2. Will not recommend any medical advice or medical course of action. Any decisions or choices are the responsibility of the Client. I can help Client get the information necessary for them to make an informed decision.

  9. I will make every reasonable effort for myself or my back-up to provide services described herein. If a Doula (myself or my back-up) fail to attend Client’s birth due to my error or fault, Client will be reimbursed 70% of fees paid. If it is due to circumstances beyond anyone’s control such as: extremely rapid labor, restriction by hospital staff, failure to call me or acts of God, there will be no reimbursement of fees. Client will not be charged extra for a long labor or reimbursed for a short labor.

  10. I require a $300 retainer fee at time of hiring; it will be put towards the full fee of $970.88 ($900 plus tax). This retainer ensures a spot for you on my calendar for your due date. The balance of the fee needs to be paid 3 weeks prior to your due date.

 

Doula Signature                                                                            Date

____________________________________                              ______________________

 

Client Signatures

____________________________________                              ______________________

____________________________________                              ______________________

 

Payments:

Date ______________________             Amount____________________

Balance Due_________________            Date Due___________________

Please make payments payable to Kim Racette.

You can mail payment to: Kim Racette, 5304 Palo Duro Ave NE, Albuquerque, NM  87110

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