Mountain View Doulas
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    Getting Started: Birth Doula Contract

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    Our new paperless business model means less paper, less ink, less waste; and we believe less is more.  All of your entries will be saved at the very end once you click "submit". Please do not refresh the page, or click the back button as you will lose your work. Some questions are check boxes, while others are short answer, so we suggest completing this from your laptop or tablet/keyboard.  So, refill your favorite mug with your favorite hydrating beverage and let's get started!

    The Terms of Agreement

     Terms of Service
    This agreement is between:
    Tiffany Wilson, CD(DONA) (PALS) and Jen Laird “the doulas”, and you, “the clients”.

    Hold Harmless Agreement
    We will indemnify and hold our doula harmless from and against any and all liabilities, including personal injury, death or property damage, which any of them may incur as a result of any action or failure to act by our doula or arising out of this agreement or the subject matter thereof. Our doula shall only be liable to us for her gross negligence or intentional misconduct. We assume all other liabilities relating to or arising from this agreement or the subject matter hereof, including without limitation any investigation or failure to investigate out doula and her qualifications and limitations of services provided.

    Release of Confidential Information
    We give out permission, for our doula to take notes about us, including personal information we choose to disclose to her and information regarding our pregnancy, birth  and postpartum , as well as any information regarding our child/ren. This information will be shared with her back up doulas as means to insure continuity of care should she be unable to attend our birth. We understand that this information may be use for the used for the purpose of certification as a doula or childbirth educator. We also understand that this information will anonymously be used for statistical purposes.

    Failure to Provide Services
    The retainer is non-refundable under any circumstances. If our doula fails to provide support during the birth through her own actions and does not provide a backup doula as a replacement, the doula fee will be refunded. If our doula misses your birth due to unforeseen circumstances such as severe weather conditions or a precipitous birth, the doula fee will be refunded; the retainer fee is non-refundable.

    Unforeseen Circumstances
    Failure to contact your doula during labor, refusal of services, refusal of her back-up doula, or cesarean section where we choose not to have her support are not grounds for a refund of the retainer. In these situations, refunds of the doula fee will be negotiated on a case by case basis.

    Cancellation
    The retainer is non-refundable under any circumstances. This fee is earned when paid and cover the time spent prenatally, materials, administrative costs, holding our space on our doula’s calendar, ect. The doula fee whether paid in full or part is refundable if a written cancellation is received prior to 37 weeks. If we choose to cancel doula services, our doula’s contract to provide any labor support, phone support, email support or any other services is considered null and void at the time a refund is issued.

    Financial Terms & Contract

    Financial Terms and Contract
    By submitting this document, we, the clients, agree to contract: Tiffany Wilson, CD(DONA)(PALS) and Jen Laird for birth doula services according the preceding Terms of Agreement.

    The Retainer, (50% of the total amount due for services),  is due at the time of hire. This fee is earned when paid, and covers the cost of the prenatal visits, handouts, on-call availability, administrative costs and resource support. Upon the receipt of the retainer, my doula will consider herself “booked” for my due date, although she will accept up to three clients due in any given month.

    The Remaining Balance is due by the 38th week of pregnancy defined by this contract.

    Electronic payments are available via Stripe. Stripe accepts HSA cards, Amex, Discover, Visa, and Mastercard.

    If you do not have the ability to make payments electronically, you may mail your check to:

    Puget Sound Doulas
    18629 10th Ave SE
    Bothell, WA 98012

    Make check payable to: "Puget Sound Doulas", and include your phone number and due date on the memo line.

    I have an unlocked mailbox. Please let me know what date you put everything in the mail so I can watch for it and inform you when it arrives. This is an important step to confirming your payment has been received, and you have been added to my calendar. 
    Tiffany Wilson, Birth Doula
    ​Jen Laird, Birth Doula
Submit
"Not only did I have one expert, I had a whole team of experts ready to support me no matter what. I loved that I was able to meet and spend time with both doulas, there was a great comfort in that. My birth ended up be very long, and the team switched out which gave us a fully rested doula with a new and fresh perspective."
Find out what makes Mountain view doulas a sound choice for birth doula support.
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Seattle Birth Doula support for home births, water births, hospital births, birth center births, VBAC births in Seattle, Kirkland, Lynnwood, Everett, Edmonds, Snohomish, Bellevue, Bellingham, Mount Vernon, Marysville, Everett, Olympia, Tacoma and surrounding areas. Additional services include Placenta Encapsulation in Seattle, Kirkland, Lynnwood, Everett, Edmonds, Snohomish, Bellevue, and surrounding areas and excellent local resources for Childbirth Education Classes, Maternity, Birth, & Newborn Photography, and more. Learn about the difference home birth Midwifery care during pregnancy and birth can make with Seattle Midwives.
Puget Sound Doulas in Seattle, WA serving: Lynnwood, Edmonds, Shoreline, Seattle, Capitol Hill, Greenwood, Wedgewood, Ravenna, Northgate, Beacon Hill, Queen Anne, Bellevue, Kirkland, Redmond, Renton, Bellingham, Mount Vernon, Marysville, Everett, Olympia, Tacoma
  • Home
  • About Us
    • Tiffany
  • Services
    • Birth Doula (Services & Fees)
    • Postpartum Doula
    • Placenta Encapsulation
    • Labor & Birth Photography
    • Testimonials
    • Products >
      • Videos
      • Preferred Partners
  • Birth Photography
  • Contact Form