Bereavement Doula Care Plan Template

Our Bereavement Doula Care Plan Template is a comprehensive, editable document designed to help bereavement doulas provide compassionate, organized, and supportive care for families experiencing loss. This care plan ensures doulas can guide families with empathy, clarity, and professionalism during one of life’s most tender times.

The key areas covered in the Bereavement Doula Care Plan include:

• Family Information
Space to record parent/guardian names, baby or loved one’s name, important dates, and doula information.

• Support Team
Identify the key people involved in the client’s support system, including doulas, healthcare providers, spiritual leaders, family, and friends.

• Emotional & Grief Support
Options for emotional check-ins, coping tools, mindfulness practices, and resources to help families navigate their grief journey.

• Memorial & Legacy Planning
Guidance on planning rituals, keepsakes, photography, or memory-making moments to honor and remember their loved one.

• Practical & Household Support
Areas where the doula may assist with rest, meals, childcare, or household tasks during this difficult period.

• Client Preferences
Document preferences for visitors, communication boundaries, and rituals to ensure families feel respected and supported.

• Emergency & Professional Contacts
Quick reference for grief counselors, healthcare providers, and emergency contacts.

• Acknowledgement & Signatures
Encourages open communication and agreement between client and doula, with flexibility to adjust the plan as needs evolve.

How It Works

1. Purchase the Bereavement Doula Care Plan Template.

2. Edit in Microsoft Word, Google Docs, or similar.

3. Save, print, or email to families for a compassionate and professional care guide.

Please Note

• Personal Business Use Only – Not for resale or redistribution.
• Digital Product – No physical item will be shipped.
• Final Sale – Digital downloads are non-refundable.

The Bereavement Doula Care Plan Template is an essential tool for doulas supporting families through grief, offering structure, compassion, and meaningful guidance during loss.