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Christie Donn | Birth Doula | Lactation Support | Cycle Coach | Matrescence Mentor
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Christie Donn | Birth Doula | Lactation Support | Cycle Coach | Matrescence Mentor
Home
Doula Services
Birth Support
Postpartum Support
Sliding Scale Payment Options
Request a Meeting or Ask a Question
Virtual Services
Survivor Moms' Companion
Virtual Lactation Preparation
Birth Plan Preparation
Blog
For Doulas
Claims Support for Doulas
Medicaid Claims Template
Contract Template - Michigan Medicaid Doula Initiative Agreement to Bill Insurance for Covered Services
Mileage & Home Office Deduction Calculator
Contact
Home
Folder: Doula Services
Back
Birth Support
Postpartum Support
Sliding Scale Payment Options
Request a Meeting or Ask a Question
Folder: Virtual Services
Back
Survivor Moms' Companion
Virtual Lactation Preparation
Birth Plan Preparation
Blog
Folder: For Doulas
Back
Claims Support for Doulas
Medicaid Claims Template
Contract Template - Michigan Medicaid Doula Initiative Agreement to Bill Insurance for Covered Services
Mileage & Home Office Deduction Calculator
Contact
Digital Products and Services For Doulas Contract Template - Michigan Medicaid Doula Initiative Agreement to Bill Insurance for Covered Services
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Contract Template - Michigan Medicaid Doula Initiative Agreement to Bill Insurance for Covered Services

$35.00

This customizable contract template helps doulas participating in the Michigan Medicaid Doula Initiative easily document client consent to bill Medicaid for covered services. Professional, easy to use, and designed to support compliant billing practices.

You will receive a link to this PDF document via email.

I am not a legal professional. I recommend you have all contracts reviewed by a lawyer to ensure that it suits your business needs. 

Add To Cart

This customizable contract template helps doulas participating in the Michigan Medicaid Doula Initiative easily document client consent to bill Medicaid for covered services. Professional, easy to use, and designed to support compliant billing practices.

You will receive a link to this PDF document via email.

I am not a legal professional. I recommend you have all contracts reviewed by a lawyer to ensure that it suits your business needs. 

This customizable contract template helps doulas participating in the Michigan Medicaid Doula Initiative easily document client consent to bill Medicaid for covered services. Professional, easy to use, and designed to support compliant billing practices.

You will receive a link to this PDF document via email.

I am not a legal professional. I recommend you have all contracts reviewed by a lawyer to ensure that it suits your business needs. 

Doulado Users - I am available to format this document as a fillable template in your Doulado account at no additional charge. I am not an employee of Doulado, and this service is not associated with the Doulado platform, it's just something extra I'm willing to do for fellow doulas. Email me for details! 💜

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I am neurodivergent and LGBTQIA+ friendly.
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All family types are welcome here.

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Serving Metro Detroit (Oakland, Macomb, Wayne, Washtenaw, and Livingston Counties) and all surrounding cities within one hour of my home, including but not limited to:

Allen Park, Ann Arbor, Auburn Hills, Belleville, Berkley, Birmingham, Bloomfield Hills, Brighton, Canton, Chelsea, Chesterfield Township, Clarkston, Clinton Township, Commerce, Dearborn, Dearborn Heights, Detroit, Eastpointe, Farmington, Farmington Hills, Ferndale, Fowlerville, Franklin, Fraser, Garden City, Grosse Pointe, Hamtramck, Howell, Huntington Woods, Inkster, Keego Harbor, Lake Orion, Lathrup Village, Livonia, Madison Heights, Milford, Mount Clemens, New Boston, Northville, Novi, Orchard Lake, Oxford, Pontiac, Plymouth, Redford, Rochester, Rochester Hills, Romulus, Roseville, Royal Oak, St. Clair Shores, Salem, South Lyon, Southfield, Sterling Heights, Taylor, Troy, Walled Lake, Warren, Waterford, Wayne, Westland, West Bloomfield, Wixom, Wolverine Lake, Wyandotte, Ypsilanti and more!

Supporting clients at Ascension Providence Novi, Ascension Providence Rochester, Ascension Providence Southfield, Ascension Providence Southfield Alternative Birthing Center, Ascension St. John Detroit, Beaumont Corewell Farmington Hills, Beaumont Corewell Gross Pointe, Beaumont Corewell Oakwood, Beaumont Corewell Royal Oak, Beaumont Corewell Royal Oak Karmanos Natural Birth Center, Beaumont Corewell Troy, Beaumont Corewell Trenton, Beaumont Corewell Wayne, DMC Harris Birthing Center at Huron-Valley, DMC Hutzel Women's Hospital, DMC Sinai-Grace Birthing Center, Henry Ford Detroit, Henry Ford Macomb, Henry Ford West Bloomfield, Henry Ford Wyandotte, Trinity Ann Arbor (St. Joe's), Trinity Livonia (St. Mary's), Trinity Oakland (St. Joe's in Pontiac) , University of Michigan Ann Arbor Von Voigtlander Women's Hospital, Stand-Alone Birth Centers, Home Birth, and more!