Sage Wellness Doula Contract

1Doula & client›

Doula name

Client name (signer) Signer is called the…

e.g. “Client”, or “Client’s Mother” when a family member is signing and paying.

Type of services

Baby’s wording Birth / due date

Use “…baby, born” after birth, or “…baby, due” before birth.

2Visit dates & times›

Text after “Two 4-hour…”

The number of visits and hours are filled in for you from the dates above.

3Services included›

Services (one per line)

Each line becomes a bullet. Start a line with - to make it a sub-bullet under the line above.

Closing paragraph

4Fees›

Hourly rate ($) Travel fee ($)

Calculate the total from hours × rate + travel Total fee ($)

Package name

Payment terms Payment due by

Extra fee lines (optional, one per line) Refund & cancellation policy

5Policies & limits›

Safety & Boundaries

Leave a blank line between paragraphs.

Limits & Exclusions — the Doula will not provide (one per line) Limits closing paragraph Additional terms (optional — adds its own section)

6Practice name & logo›

Practice / collaborative name Document title

7Signatures›