Bereavement Doula Contract Template

Our Bereavement Doula Contract is a detailed, 3-page document designed to clearly define the terms and expectations for both families and doulas throughout the bereavement journey. This contract offers transparency on professional services, policies, and mutual responsibilities, ensuring a compassionate and supportive experience for families navigating the loss of a pregnancy, infant, or reproductive loss. Ideal for bereavement doulas and families, this contract sets the foundation for a respectful, professional relationship. The key areas covered in the contract include:

What is a Bereavement Doula?
A comprehensive explanation of the bereavement doula role, including emotional, physical, and informational support provided to families experiencing loss. Understand how a bereavement doula helps guide families through grief, memorialization, and healing, ensuring they feel supported during this difficult time.

Limitations of the Bereavement Doula
This section clarifies what a bereavement doula is not qualified to do, helping set clear boundaries and expectations regarding the non-medical and emotional support provided during the grieving process.

Scope of Practice
Detailed information on the bereavement doula’s services, including support during pregnancy loss, infant loss, and reproductive loss, as well as grief counseling and post-loss care, ensuring there is no confusion about the doula's role in this delicate journey.

Rates and Payment Terms
Provides transparency about service fees, payment schedules, and accepted payment methods to help manage financial expectations clearly during an emotionally sensitive time.

Refund, Cancellation, and Rescheduling Policy
Clear terms on what happens if you need to cancel or reschedule bereavement doula services, including refund guidelines to protect both parties.

Fraudulent Chargebacks
Outlines procedures for handling fraudulent chargebacks, protecting both the doula and client from financial discrepancies.

Confidentiality
A commitment to maintaining strict confidentiality regarding all client information, ensuring privacy and respect throughout the bereavement doula-client relationship.

Disclosure of Communicable Diseases
A policy stressing the importance of transparency regarding any communicable diseases, ensuring the safety and health of everyone involved in your care.

Liability
Clarifies the doula’s non-medical role and states that the doula is not responsible for any medical outcomes, limiting liability for the services provided during the grieving process.

Termination of Agreement
Details conditions under which either party may terminate the contract, outlining the rights and responsibilities of both the bereavement doula and the client.

Photography and Videography Release
A section addressing the use of photography or video during the doula's services, outlining permissions and consent for media use.

Key Features:
• Easy to Edit: Customize the template with your business information and specific terms to fit your unique doula practice.
• Print-Ready: Once edited, this template can be printed for physical use, making it perfect for in-person consultations. 

• Fax-Friendly: The layout is suitable for faxing, allowing quick and efficient communication with clients.
• Email-Friendly: The file is easy to attach and download via email, simplifying digital correspondence.

How It Works:
1. Purchase the Bereavement Doula Contract Template.
2. Edit the contract in Microsoft Word by customizing it with your business name, contact details, and specific terms and conditions.
3. Save your updated contract and use it to formalize agreements with clients.

PLEASE NOTE:

• Personal Use Only: This template is for personal use only. You may not resell, redistribute, forward, or share this file.
• Digital Product: No physical product will be shipped. This is a digital product available immediately after purchase.
• All Sales Are Final: Due to the nature of digital products, all sales are non-refundable.

Enhance your doula business with a well-defined contract that provides peace of mind for both the doula and the client. Streamline operations, clarify expectations, and ensure a smooth, professional relationship.