Let’s Get Connected!Please fill out the information below so we can schedule your consultation. I look forward to hearing from you! Name * First Name Last Name Email * Phone * Placenta Service Options * Raw Capsules Steamed Capsules (Traditional Chinese Medicine) Combo Capsules (Raw & TCM) Additional Placenta Services * Steaming Add-Ins (Lemon or Ginger) Smoothie Cubes Salve Tincture Estimated Due Date * MM DD YYYY Birthing Location * Will you be utilizing a Doula for your birth? Yes No Undecided Need Recommendations Date & Time for consultation * How did you find me? Questions/comments for consultation Thank you for reaching out! Please be on the lookout for an email from baileys.birth.services@gmail.com regarding next steps and getting our consultation officially scheduled.
