Doula invoice template
Copy the structure below into your own document and change it to match the signed client agreement. The invoice should show what was purchased, what has been paid, what remains, and the exact due date both sides already agreed to.
Educational example, not legal, tax, or reimbursement advice. Invoice, deposit, retainer, cancellation, and refund rules vary by agreement and jurisdiction.
[Your business name]
[Your name] · [address or city, state]
[email] · [phone]
[NPI, if you have one, see the superbill note below]
Invoice #: [2026-014]
Date: [date]
Due: [date, tied to your contract's schedule]
Billed to: [client name]
| Description | Amount |
|---|---|
| Birth doula support package: [2] prenatal visits, on-call from [38 weeks], labor and birth support, [1] postpartum visit | $[1,400] |
| Postpartum support: [12] hours at $[40]/hour | $[480] |
| Less: initial payment received [date] | −$[500] |
| Balance due | $[1,380] |
Payment methods: [card link / bank transfer / check], [payment link]
Terms: Per our agreement, the balance is due by [week 36 of pregnancy / date]. If the services or schedule changed, please reply so we can review the agreement together.
Reimbursement-document note: Some insurers and benefit programs ask for an itemized receipt or superbill. Check your own plan's eligibility and documentation rules before submitting. A superbill does not guarantee reimbursement.
Keep the invoice consistent with the agreement
- Initial payment: use the same term and refund rule as the reviewed client agreement. A label such as “retainer” does not decide its legal treatment.
- Exact deadline: if the agreement uses a week of pregnancy, show the corresponding calendar date so the client does not have to calculate it.
- Invoice number: use a unique number so both sides can identify the same record.
- Line items: describe the service clearly. If a payer or benefit program requires specific fields or codes, get its instructions rather than guessing.
In Junie, a doula chooses the payment schedule, and agent-assisted reminder workflows start in review mode. One or more settled payments can produce a receipt labeled as a superbill. The current release uses the payment-record date as the service date and a generic description, so check it against the recipient's requirements. Agent-generated payment reminders are blocked during the birth window. See pricing. More templates: /templates.