Doula Media Release Form

Our Doula Media Release Form is a professional, customizable document designed to protect both doulas and their clients when sharing photos, videos, or other media related to their services. This form ensures clear consent is obtained from clients before using any media captured during the pregnancy, birth, or postpartum period for promotional purposes, websites, social media, or other media outlets. By establishing transparent terms and expectations, this form helps foster trust and professionalism between doulas and clients. Here's what the template covers:

Key Sections of the Doula Media Release Form

Client and Doula Information:
This section collects essential contact information from both the doula and the client, ensuring that all parties involved in the agreement are clearly identified.

Purpose of Media Use:
This section outlines the specific ways in which the media will be used (e.g., promotional materials, websites, social media, advertisements, etc.) and provides details on how the media will be shared.

Client Consent:
A clear statement where the client gives consent for the use of their media (photos, videos, or recordings) for specific purposes, ensuring their approval before any use.

Right to Modify and Edit Media:
This section clarifies whether the doula has the right to edit or alter the media for use in promotional materials or other purposes.

Confidentiality and Privacy:
Addresses the importance of protecting the client's privacy, ensuring that media will be used with care, respecting their wishes regarding any sensitive content.

Compensation or No Compensation:
Clarifies whether the client will receive any form of compensation or if they are voluntarily consenting to media use without any monetary exchange.

Time Period of Consent:
Specifies the length of time the client’s consent remains valid, ensuring there’s clarity about the media’s use and timeframe.

Revocation of Consent:
Explains how the client can revoke consent if they decide at a later date that they no longer want their media to be used.

Client Acknowledgment and Signature:
A space for the client to sign, confirming their understanding and agreement to the terms outlined in the media release form.

Key Features:

• Easy to Edit: Customizable to fit your doula business needs, including contact details, media usage terms, and client-specific requests.
• Print-Ready: Once edited, the form is ready for printing as a professional document.
• Email-Friendly: Easily downloadable and shareable via email, making it convenient for digital use.
• Clear Consent Terms: Clear language and easy-to-understand terms for clients to ensure they fully comprehend their rights regarding media use.

How It Works:

• Purchase the Template – Instantly access the digital product after purchase.
• Edit the Template – Customize the media release form in Microsoft Word to include your doula business details and specific media use terms.
• Save and Use – After editing, save the form and use it to secure client consent before sharing any media captured during their care.

PLEASE NOTE:

• Personal Use Only: This form template is for personal use only. Redistribution, resale, or forwarding of the file is prohibited.
• Digital Product: This is a digital download, and no physical product will be shipped.
• All Sales Are Final: As this is a digital product, all sales are non-refundable.

A well-defined media release form helps doulas ensure that all media shared with clients is done so with clear consent. This helps maintain professionalism, protect client privacy, and streamline communication. By establishing transparent terms for media use, this form fosters trust and reduces potential misunderstandings, allowing your doula practice to thrive while maintaining positive client relationships.