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New Client Intake
Interested in having Ohio Baby Co help you? Please complete the form below and expect a call within 24 hours!
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Client Name *
Phone number *
Email address *
Address *
Baby's Name
Baby's EDD or DOB
Who all lives in the home
Please tell us about your pets
Dietary Restrictions/Allergies in the home
Parents favorite snacks
Other children's favorite things
What are you most looking forward to having OBC in your home
What services interest you most
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What days of the week would you prefer, please check all that interest you.
How long do you envision OBC's help in your home (this will NOT lock you into a specific time frame... just an estimate to help keep our calendar updated) *
How did you hear of Ohio Baby Co *
Do you have a VIDEO monitor for baby? *
Tell us about what your baby eats/drinks. (please include any solids your child may have had)
Should an OBC team member notice signs of postpartum depression or other mood disorder, how would you like us to proceed with your family? *
OBC will always follow the most up to date AAP safe sleep guidelines.  Should a team member notice "unsafe" practices, how would you like us to proceed? *
What is the most important thing you think we should know about your, your child(ren) or your family?
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