About this template
Establishing a clear, professional agreement is essential for any birth professional. This Doula Contract Form template helps doulas, birth assistants, and prenatal support specialists seamlessly manage client relationships, outline service terms, and gather critical birth plan details before the big day.
Designed specifically for maternal care providers, this form streamlines the intake and agreement process. Instead of managing scattered emails or messy paperwork, you can collect essential client information—such as estimated due dates, chosen birth locations, medical providers, and specific support packages—all in one secure place.
With Doc2Form, you can easily customize this template to reflect your unique service packages and pricing, then share it instantly with your expecting clients. Ensure everyone is on the same page with clear expectations, emergency contacts, and signed service agreements so you can focus on providing compassionate, uninterrupted care.
Key features
- Collect client contact details and due dates in a single step.
- Outline selected support services and packages clearly.
- Gather primary care provider and hospital or birth center details.
- Secure client acknowledgments and digital signatures.
- Ready to customize and share with expectant families instantly.
Use cases
- Independent birth and postpartum doulas onboarding new clients.
- Prenatal support agencies managing client service agreements.
- Birth photographers and educators coordinating event terms.
What this form collects
- Birthing Person Full Name (Short answer)Enter your first and last name as you would like it on your client file.
- Partner / Support Person Full Name (Short answer)If applicable, include the name of your partner or primary support person.
- Phone Number (Short answer)Enter the best phone number to reach you during your pregnancy and labor.
- Email Address (Short answer)Where should we send confirmation details, invoices, and prenatal resources?
- Home Address (Paragraph)Enter your residential address for home visit coordination.
- Estimated Due Date (Date)Select your projected due date provided by your OB/GYN or midwife.
- Planned Place of Birth (Short answer)Name the hospital, birth center, or home address where you plan to give birth.
- OB/GYN or Midwife Name (Short answer)Provide the name of your primary prenatal care provider or clinic practice.
- Referral Source (Dropdown)How did you hear about our doula services?
- Selected Doula Services (Multiple choice)Choose the support package you wish to reserve.
- Service Agreement Acknowledgment (Checkboxes)Please review our terms regarding backup doulas, on-call availability, and payment schedules before signing.
- Client Signature (Short answer)Type your full legal name to serve as your digital signature and agreement to these terms.
- Date Signed (Date)Select today's date.
FAQ
How do I share this contract form with my clients?
Once you convert and customize this template using Doc2Form, you can simply share the Google Form link via email, text message, or embed it directly on your professional website.
Can I edit the questions and service packages?
Yes! Google Forms is fully customizable. You can add, remove, or modify any questions to match your specific doula packages, fees, and policies.
Is this form legally binding?
While this template provides a solid structural framework for agreements, we always recommend having your final agreement reviewed by a legal professional in your jurisdiction.
Can I collect digital signatures?
Yes, you can include text confirmation fields or a digital signature acknowledgment to capture your client's formal agreement to your terms.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.