Online Doula Agreement

Online Booking for Postpartum Doula Services

Being a new parent is exhausting and we know how tiring the days and nights can be, we want to help support you through this transition and adjustment. Having a postpartum doula means having an expert and professional support and care by your side to ease this adjustment in the early weeks of parenthood and let's face it, get the much needed nap or shower, a warm meal to eat and the space to tend to your self care needs, during your day, We nurture parents so they can nurture their little ones and truly enjoy the time they do have with their new little wonder.

View our copy of our full postpartum doula agreement here:

FC postpartum 2020.pdf
File Size:	4593 kb
File Type:	pdf

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Ready to secure our service?

I have carefully read through the entire contract and are aware of all terms for postpartum support.
By filling out this online booking form we are agreeing to the conditions of the contract and our intention to secure booking with Full Circle Postpartum Doulas. We understand that payment is required to secure our booking. After Full Circle Postpartum has received our booking, they will follow up with us to verify thier availability and confirmation of service.

Full Circle Postpartum Doula Booking Form

* Indicates required field

Name *

First

Last

Email *

Cell # *

This is for *

Home Phone Number *

Due date or age of infant(s) or date of birth *

I would like the following package; *

I want this number of shifts per week. *

I would like these shifts to be; *

I have a specific day I need care for, please detail *

For overnight requests, how many hours do you want? Half the night, the whole night? *

Address *

Line 1

Line 2

City

State

Zip Code

Country

How many people reside in the home? *

Care plans to follow *

I would like confirmation of this booking by; *

I was referred to you by; *

Covid or illness:
For the health and wellbeing of our clients and our doulas,
we expect to be notified of any person in the home that has cold, flu or covid type symptoms. Has tested positive for Covid or is in isolation due to exposure. We will give the same courtesy to our own clients, as well.
If this occurs, we will do our best to arrange a back up doula to fill in the contract or wait until cleared to begin care again.

I understand that the retainer for contracts is due at contract signing. The remaining contract amount due two weeks in or when half of the contract is complete. If the agreement is for a 4 or less shifts, payment is required in full.
*Payment can be sent via e-transfer to [email protected], please use password doula. if only one session is booked for a virtual session, payment is required in full.

I understand that I must give 24 hours notice for any shift changes and understand Full Circle Postpartum will do their best to accomidate our needs to the best of their ability.

With the current health crisis, our practice is doing it's best to offer services to meet the needs of our clients. Our team is offerring virtual support services, as well as in person support (assessing case by case need and situation).
Safety is of utmost importance for both parties involved. Before each visit, your postpartum doula will ask pre-screening questions regarding the transmission of the Covid 19 virus and potential exposure for their safety. While disclosing as well to families their level of social distancing and potential risk factors. All postpartum doulas will be following the required safety measures of wearing a mask and frequent handwashing while in the home of their clients.

If in person care is provided, I understand that I must disclose any illness ( including clients, those living in the house or siblings) before the doulas arrives to my home. I also understand that if my postpartum doula is ill and unable to attend the booked shift, they will look for a replacement to attend on doulas behalf or rebook another available day.

I have read the doula agreement and agree to the everything within the document and the above form.

Submit

Postpartum Doula Agreement

Online Booking for Postpartum Doula Services

Ready to secure our service?

Full Circle Postpartum Doula Booking Form

Services

Location

About Us

Contact Us

Postpartum Doula Agreement

​Online Booking for Postpartum Doula Services

Ready to secure our service?

Full Circle Postpartum Doula Booking Form

Services

Location

About Us

Contact Us

Online Booking for Postpartum Doula Services