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Doula Invoice Template

Prenatal visits, birth support, postpartum care, private pay or Medicaid. Free PDF.

Doula work used to be paid one way — privately, often as a package with a deposit. It is no longer only that: more than half of states now reimburse doula services through Medicaid, and a doula billing a state programme needs a very different document from one billing a family. This template does both, because most doulas now do both.

Issued by

Amara Boateng, Birth Doula

31 Wildflower Lane

97212 Portland, OR

United States

amara@boatengdoula.example

Bill to

Helena and Piotr Zawadzki

808 Alberta Court

97211 Portland, OR

United States

zawadzki.family@example.com

Amount due

$1,200.00

Due in 14 days · Aug 16, 2026

Notes

Private-pay engagement; the deposit taken at booking is shown as already paid. Where a client is enrolled in a state Medicaid programme that covers doula services, the visits above are billed against the state fee schedule instead of this package, and the family owes nothing.

Description	Qty	Rate	Tax	Amount
Prenatal visits Three visits, birth preferences and comfort measures	3	$150.00	—	$450.00
Labour and delivery support Continuous support from early labour through birth, 19 hours	1	$950.00	—	$950.00
Postpartum visits Two visits, feeding support and recovery check-in	2	$150.00	—	$300.00
On-call period Two weeks either side of the estimated date	1	$200.00	—	$200.00

Subtotal	$1,900.00
Total	$1,900.00
Paid to date	-$700.00

Amount due

$1,200.00

Terms

Balance due within 21 days of the birth. If labour support is not provided — an unattended or precipitous birth — that line is refunded in full.

Invoice #INV-0001 · Amara Boateng, Birth Doula · Page 1 of 1

Edit this template Free, no account, no watermark — download the PDF when you are done.

What to put on a doula invoice

The client's name and the expected or actual date of birth
Prenatal visits counted, since packages are usually priced around a number of them
Labour and delivery support as its own line, whatever the hours turned out to be
Postpartum visits, counted, with their length
Whether this is private pay or a Medicaid claim, since they need different identifiers
For a Medicaid claim: your enrolment or provider number and the authorising details your state requires

Questions

Is doula care covered by Medicaid?

In a growing number of states, yes. As of March 2026, twenty-six states and the District of Columbia reimburse doula services through Medicaid — fourteen more than two years earlier — with several further states in the process of implementing it. Whether you can bill depends on your state's programme and on being enrolled with it.

How is Medicaid doula work priced?

By your state's fee schedule rather than by your private rate, and the two are usually different. Labour and delivery support across states ranges roughly from a few hundred dollars to around fifteen hundred, with prenatal and postpartum visits paid per visit. Bill the schedule, not the package.

Should a private-pay package show the individual visits?

Yes. A package price with nothing underneath it is hard for a family to value and impossible to prorate if the birth goes differently than planned — an early delivery, a transfer, a birth you missed. Listing the visits is what makes a fair adjustment possible.

Ready to bill for it?

The template opens in the editor with these lines already on it. Change what you like, download the PDF.

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