‘Perfect Mama TENS’

Rental Agreement.

The following rental agreement will take place between Durham Doula and the individual named below.

The TENS Machine:

  • will be used according to the instructions included.

  • being rented is only meant to be used by the person whose name appears on this form and is non transferable.

  • will be inspected before you receive it and will be supplied in good working condition, ready for use and will be returned in the same condition received.

  • must be used with the set of disposable pads which are included with the rental.

This Rental Includes:

  • Use of Perfect Mama TENS Machine

  • Instructions

  • A new set of adhesive pads

  • Rental period is from 37 weeks gestation up until 2-3 days after birth (unless otherwise agreed upon with the owner.)

All pieces included in this rental must be returned, excluding the single use items listed below:

  • Adhesive pads

In the event that the TENS machine, or any part thereof is lost, stolen or damaged in any way or not returned in the same working condition, the renter will be charged the replacement value of the equipment in question.

If the TENS machine and accessories are NOT returned for any reason, the full replacement charge of $250 will apply.

It is the renter’s responsibility to familiarize oneself with the Perfect Mama TENS Machine, the accessories and to read the instructions included with the rental. In the event that the renter discovers any issue whatsoever, the owner must be notified immediately. Failing to do so makes it impossible for the owner to take corrective action.

This unit must not be placed/used while the skin is wet or submerged in water. Doing so may result in injury or damage the TENS machine.

Rental Fees:

Perfect Mama TENS machine rental is $75 + HST for the rental period beginning at 37 weeks gestation up until a maximum of 3 days after the intended renter has given birth. This price includes delivery and pick-up in Durham region.

  • The rental fee will be paid in full upon reserving the unit

    • this is a non-refundable fee

  • If you require delivery outside of Durham Region, Markham, Scarborough or Stouffville, a $25 delivery/pick-up fee will apply. You may also arrange to pick it and drop it off yourself for free.

  • You will be sent an invoice via email after the signing of this contract. Failure to pay the above fees will result in cancellation of services.

Cancellation and Refunds:

Refunds will not be made after the unit has been reserved.

Warnings and Precautions:

  1. Damage may occur to the TENS machine if the included instructions are not followed properly.

  2. Keep all electrical devices a minimum of 3m or 10' away from water/birth pool/shower at all times

  3. If you suffer from heart disease or any other medical condition that may interfere with the use of this machine, you MUST consult with your medical care provider before submitting this agreement/using this machine.

WAIVER OF LIABILITY:

You will be sent an invoice via email after the signing of this contract. Failure to pay the above fees will result in cancellation of services.

I, the renter, WILL NOT hold Durham Doula/Sarah Leitch responsible or liable for any injury or damage sustained as a result of misusing the Perfect Mama TENS Machine and included accessories.

This agreement is meant to be fair to both parties, so that all parties may feel secure in their mutual commitment. By signing this contract, you agree to pay for services as described above. In return, the doula commits to provide these services. It is understood that neither Sarah Leitch / Durham Doula or my representatives are to be held responsible or liable for any undesirable or unexpected outcome resulting from this unit. Should a disagreement occur, the undersigned agree to resolve issues amicably therefore excluding Sarah Leitch / Durham Doula and its representatives from any penalty or fault. The signatures below indicate both doula and client understand the content and terms herein.