---
title: Doula Services Dispute Resolution Form Template | Paperform
description: Professional doula dispute resolution form for birth support agreement issues, scope of practice concerns, refund requests, and maternal health services arbitration.
url: "https://paperform.co/templates/doula-services-dispute-resolution-form"
type: static
generatedAt: "2026-03-28T00:43:42.252Z"
---

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### Resolve Doula Services Disputes Professionally and Compassionately

Birth support is deeply personal, and when disagreements arise between doulas and clients, having a structured dispute resolution process protects both parties while maintaining the dignity and respect everyone deserves during this vulnerable time.

This **Doula Services Dispute Resolution Form** template provides a professional, compassionate framework for addressing concerns related to birth support agreements, scope of practice, refund requests, and service delivery issues. Whether you're a solo doula, part of a collective, or managing a maternal health practice, this template helps you handle disputes with clarity and care.

#### Why doulas and maternal health practices need a formal dispute process

The doula-client relationship is built on trust, and when expectations aren't met—whether due to miscommunication, scheduling conflicts, or differing interpretations of service scope—having a clear dispute resolution pathway is essential. This form helps:

 - **Document concerns thoroughly** so both parties understand the specific issues at hand
 - **Reference original agreements** including contracts, scope of practice, and service expectations
 - **Clarify refund eligibility** based on your cancellation and refund policy terms
 - **Facilitate mediation or arbitration** when direct resolution isn't possible
 - **Protect professional boundaries** while maintaining compassionate client care
 - **Create a paper trail** that can be referenced if further action is needed

For doulas and birth workers, this form demonstrates professionalism and accountability. For clients, it provides a safe, structured way to voice concerns and seek resolution.

#### Common disputes this form addresses

Doula services can involve complex agreements that span months of prenatal support, on-call availability, and postpartum care. Common dispute scenarios include:

 - **Scope of practice misunderstandings**: Clients expecting medical advice or interventions outside a doula's non-clinical role
 - **Availability and on-call conflicts**: Backup doula situations, missed births, or scheduling disagreements
 - **Service delivery concerns**: Perceived lack of support, communication issues, or unmet expectations
 - **Refund and payment disputes**: Cancellations, no-shows, partial service completion, or billing disagreements
 - **Contract interpretation**: Different understandings of what services were included in the agreement
 - **Postpartum support issues**: Disagreements about frequency, duration, or type of postpartum visits

This template provides structured fields to capture all relevant details, making it easier to review cases objectively and work toward fair outcomes.

#### How this template works for your doula practice

The form guides disputants through a comprehensive intake process that collects:

 - **Party information**: Client and doula details, plus any third-party involvement
 - **Service agreement details**: Original contract date, services purchased, and payments made
 - **Dispute specifics**: Nature of disagreement, timeline of events, and desired resolution
 - **Supporting documentation**: Space to upload contracts, communications, and evidence
 - **Refund calculations**: If applicable, based on services rendered versus paid
 - **Preferred resolution method**: Direct negotiation, mediation, or formal arbitration

By structuring the dispute intake this way, you can quickly assess the situation, reference your policies, and determine the most appropriate next steps—whether that's a phone conversation, partial refund, or involving a neutral third-party mediator.

#### Integrate with your practice management and automate follow-up

Paperform makes it easy to connect this dispute form to your existing tools and workflows. Send submissions to Google Sheets or Airtable for tracking, notify your administrative team via Slack or email, and create a consistent review process.

With **Stepper** (stepper.io), you can automate what happens after a dispute is filed:

 - Send an acknowledgment email to both parties confirming receipt
 - Route disputes to the appropriate person based on severity or type
 - Schedule mediation sessions or follow-up calls automatically
 - Update your CRM or case management system with dispute details
 - Generate refund calculations or settlement proposals based on form responses

This automation ensures no dispute falls through the cracks while freeing you to focus on the emotional and interpersonal aspects of resolution.

#### Built for maternal health professionals who care about accountability

Doulas, birth workers, and maternal health service providers operate in a space where emotional stakes are incredibly high. This form demonstrates your commitment to ethical practice, transparent communication, and fair resolution processes—all of which strengthen trust within the birth community.

The template is fully customizable to match your practice's refund policy, scope of practice statement, and preferred dispute resolution methods. Add your branding, modify questions to reflect your specific service offerings, and include links to your professional association's ethical guidelines if relevant.

#### Ready to implement professional dispute resolution?

Whether you're a newly certified doula establishing your practice policies or an experienced birth worker updating your client agreements, having a formal dispute resolution form in place protects everyone involved. It sets clear expectations, provides a fair hearing for concerns, and helps maintain your professional reputation even when conflicts arise.

Paperform's flexible form builder lets you create a dispute resolution process that feels aligned with the values of maternal health work: compassionate, transparent, and centered on the wellbeing of families during one of life's most transformative experiences.

**Get started with this template today** and bring the same level of care and professionalism to dispute resolution that you bring to birth support.
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