Client forms

After a client hires me, I request that they complete the following three forms before our first official prenatal visit.

If you are unable to print these forms, I am more than happy to make hard copies available to you.

 

Contract


Confidentiality Form


Client Information Form

Doula fee

I currently charge $450 for birth doula services.  For birth locations over 30 miles away from Columbus, OH, I charge an additional $50 traveling fee.

A balance of $225 is due at the signing of a “doula contract” with me.  The remainder of the balance is due at 39 weeks.

I am more than happy to create payment plans and/or to adjust my fee on a sliding scale in order to make my fee more affordable, if necessary.  I have also set up bartering arrangements in the past, trading doula work for services such as family photography and website development.

Pay online

Coming soon!
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