THE LANGUAGE OF BIRTH. Placenta Order Form
As a doula, I have prepared hundreds of placentas. Clients regularly report that by ingesting their placenta they feel more balanced and stable, experience significant reductions in postpartum moods, have faster and fuller breast milk production, see faster uterine tightening and less bleeding after the birth, and experience increased iron levels. Most of all, clients report simply feeling happier than with previous births (when they did not consume their placenta). My job is to use my years of experience to ensure your placenta is prepared safely, quickly and with the highest standards of professionalism and health.

A few important notes:
- Encapsulation is usually complete within 2-4 days of pickup. Tinctures take 6 weeks.
- Payment is due upon placenta pickup. I accept cash or checks. Checks can be made out to Stepha Lawson
- When baby has arrived, keep the placenta in the fridge till pick up. Placentas keep well in the fridge for up to three days. It is my standard to pick up your placenta within 24-hours of your call.
CALL or TEXT 425.283.6122 to let me know you are ready for pick up
Full Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Which City Do You Reside In? (Areas with delivery fees have the option of delivery or a $10 mailing fee for finished placenta. If you are located a good distance from the freeway, we may ask you to meet us near the freeway.) *
Home Address *
Your answer
EDD or date of request if after birth *
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How would you like your placenta processed? *
Required
Would you like placenta prints? *
Do you have any allergies? *
This helps me eliminate anything that could cause a reaction
Required
Any considerations about the health of the placenta? *
I am willing to follow the direction of you and your provider. I have prepared placentas from home, birth center and hospital births including births using pitocin, epidurals, and c-sections. Meconium or poop are not necessarily a problem, we might just cut away those areas if they are stained.
Required
Any considerations about the health of the mother? *
Because I am working with an organ and blood, I must take precautions to ensure my safety and the safety of the mother. Please disclose any communicable diseases. Responses are kept confidential.
Required
Additional Options *
This is where you get to be creative! Figure out if you are trying to consume placenta medicine as close as possible to the original state or if you want to hide it. Think about your favorite treats!
Required
Referral Source, how did you hear about me? *
I like to know how you heard about me, it helps to know where my clients come from
Your answer
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