End of Life Care
Service Agreement and Contract
End of Life Doula Care
Thank you for adding Doula Care to your End of Life team of support. May our work together deeply benefit you, your loved ones, and family to meet the natural process of dying with as much grace and ease possible.
Philosophy of the Work
Death, grief, and transition are deeply human experiences that deserve care, dignity, compassion, and presence.
Mikyö’s work is rooted in trauma-informed care, embodied presence, contemplative practice, grief support, spiritual care, and compassionate witnessing. This work honors the emotional, spiritual, relational, and ceremonial dimensions of dying and grieving.
Together, we will seek to meet grief and death with as much grace, honesty, tenderness, and peace as possible.
The intention of this work is not to remove grief or control death, but to support greater connection, meaning, acceptance, presence, and care throughout the dying process.
Scope of Services
Services are personalized based on the needs of the individual, family, or community. Death doula support may include:
Grief Support
Compassionate presence during anticipatory grief, active dying, and bereavement
Emotional processing and supportive listening
Guidance in navigating grief transitions
Community and family grief support
Emotional and Spiritual Support
Non-denominational spiritual care
Meditation and contemplative support
Holding space for emotional expression
Existential and end-of-life reflection
Support in cultivating peace, meaning, forgiveness, and acceptance
Spiritual reflection and contemplative inquiry
Mediation and Communication Support
Family communication facilitation
Support with difficult conversations
Clarifying wishes and values
Compassionate conflict mediation when appropriate
Opening lines of communication within the team of hospice, caregivers, family
Deathbed Vigil Support
Creating a peaceful and meaningful dying environment
Bedside presence and compassionate witnessing
Ritual, prayer, silence, music, meditation, or guided support as requested
Supporting loved ones during the active dying process
Somatic Support
Grounding and nervous system regulation practices
Healing touch when welcomed and consented to
Gentle energy work and embodied support
Breath and body awareness practices
Ceremonial and Celebrant Services
Personalized rituals and ceremonies
Memorial and funeral support
Pre-death, deathbed, and post-death ceremonial guidance
Legacy, remembrance, and honoring practices
Death Education and Practical Support
End-of-life education and preparation
Exploring fears, beliefs, and questions around death
Guidance in creating intentional dying experiences
Respite care and practical support
Gathering and providing resources to fill in gaps of support, caregiving, respite care
Together, we seek to find our way through grief and death into aliveness, celebration, remembrance, and love.
Service Agreement and Contract
This Service Agreement (“Agreement”) is entered into between Mikyö Maria Black-Wangmo (“Practitioner,” “End of Life Doula,” or “Facilitator”) and the undersigned client and/or family representative (“Client”).
The purpose of this Agreement is to create clear, compassionate understanding regarding the nature of death doula support services, expectations, boundaries, and mutual responsibilities.
By signing below, both parties acknowledge that they have read, understood, and agreed to the terms of this Service Agreement.