Terms of Service
1. Payment Terms:
Clients shall pay a non-refundable deposit of $1,000.00 due at the time of the 1st visit. Following the initial deposit, monthly payments are to be made, and paid in full by 36 weeks. The total cost of services is $5,000.
2. Services Financing:
The Village Midwife Services is funded solely by the contributions of its clients. This financial support enables us to maintain a high standard of care, including supplies, utilities, travel, advertising, and the hiring of qualified birth consultants (midwife and attendants).
3. Eligibility and Services:
Our services are available to all healthy, low-risk pregnant women and their babies. We accommodate diverse budgets by offering various financial arrangements.
4. Client Participation and Responsibility:
Clients are required to be actively involved in the decision-making process of their care and assume full responsibility for the outcome of their birthing experience.
5. Services Included:
The Village Midwife Services includes the following services:
Midwife & Attendants mutually agreed upon between Midwife and Client
Pregnancy & Nutritional Counseling
Prenatal Screening & Prenatal Visits
Home birth & Newborn Exam
Birth Certificate Filing (paper copy not included)
Breastfeeding Instruction & Support
Birth Supplies & Equipment supplied by Midwife, including a birth pool
Birth attendance from whenever you say until 2-4 hours after birth
Postpartum Care for approximately 10 weeks after birth
Electronic, Phone, and/or Postal Communications
6. Services Not Provided:
The following services are not included in The Village Midwife Services:
Lab work
Circumcision
Prescribing or administering drugs before, during, or after birth
Suturing of perineal tissue
Newborn Screening (the card for ~$140 must be purchased by Clients)
7. Additional Expenses:
The Parents will supply and be responsible for obtaining and paying for the following if needed and/or wanted:
Medical Laboratory or Diagnostic Tests necessary for prenatal care and birth complication management
Ultrasound
Rh Antibody Testing & Rhogam Treatment
Prescription & Non-Prescription Medications or herbal supplements related to present pregnancy and postpartum care
Emergency expenses, including transportation, emergency room, physician expenses, surgery, medications, or any standard hospital, clinical, or physician expense related to present pregnancy and postpartum care.
8. Insurance Coverage:
The Village Midwife Services does not directly bill insurance companies. Clients will be provided with an invoice for reimbursement directly from their insurance company.
9. Payment Methods:
Credit Card Payments: We accept all major debit and credit cards through Square or Venmo for birthing service payments. A 5% service fee applies to all card payments through Square. Electronic invoicing will be done via email.
Other Payment Methods: We accept Zelle bank payments without any additional fees. Cash payments are accepted, but the acceptance of personal checks is at the discretion of the midwife.
10. Payment Schedule and Discussion:
All payment options, including scheduled plans, will be discussed and agreed upon when this form is signed by both parties.