Let’s Get You Paid!

Doula's Name

First Name

Last Name

Name of Client

Services

Postpartum Doula

Childbirth Class

Belly Binding

Placenta

Lactation

Date Services provided

Hours for Lactation

Postpartum Hours

For postpartum hours:

Day

Night

Mix (if mixed, please break that down below)

What childbirth class did you teach?

List total hours of private classes or type of class if group class.

Other things I may need to know to get you paid!