Placenta Services
The Intuitive Northern Doula
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Email Address *
Last, and First name *
Please provide your Phone Number *
Please provide the Address of your Planned Birthing Location *
Please provide your Estimated Due Date *
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Please provide your Home Address including City, and Zip Code *
Client Responsibility: It is your responsibility to notify me when you are in labor and again, as soon as possible after the birth to make arrangements.   (initial down below) *
It is your responsibility to discuss the release of your placenta with your primary health care provider as well as the facility you will be birthing at. Your placenta may be kept room temperature 3 hours following your birth. After that, or as soon as possible, it should be placed on ice or in a refrigerator (intial down below) *
I understand that remaining balance is due upon pick up of my placenta at my birthing location (initial down below) *
How did you hear about The Intuitive Northern Co Doula?
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