Ridge Meadows Doula Services

Your experienced Doula Collective (Maple Ridge, Pitt Meadows and beyond!)

About Us
- Resources
What Is A Doula
Services
Testimonials
Blog
Events
Contact

You are here: Home / Client Resources / Newborn Prep Class

Protected: Newborn Prep Class

September 29, 2016 · Leave a Comment

This content is password protected. To view it please enter your password below:

Password:

Categories : Client Resources

« Welcome to First Grade

Is your baby in a good position? »

This post is password protected. Enter the password to view comments.

Categories

Categories

Recent Posts

25 things about Tracey
New foods and allergies
Reiki for those expecting
What is an experienced doula?
Belly Support- Rebozo

Doula Services Request Form

Name *
Phone *
Email *
Where are you planning on delivering? *
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
What is your estimated Due Date? *
Are you interested in any additional services?
Prenatal EducationPostpartum Doula SupportPlacenta Encapsulation
Who is your care provider? *
Why do you want a Doula? *
Have you gave birth before? *
If you are comfortable, please share a little about those experiences
Are you a repeat client?
YesNo
How did you hear about Ridge Meadows Doula Services? *

Verification

Please enter any two digits *Example: 12
This box is for spam protection - please leave it blank:

Warning: Invalid argument supplied for foreach() in /home/doulagurl/public_html/wp-content/plugins/visual-form-builder/public/class-form-display.php on line 241

Verification

Please enter any two digits with no spaces (Example: 12)*
This box is for spam protection - please leave it blank:

Placenta Encapsulation Request Form

Name
Phone
Email
Partners name
Partners phone number
Estimated Due Date
Where are you Delivering? What is your address for placenta capsules to be dropped off?
Name of Care Provider
How did you hear about RIDGE MEADOWS DOULA SERVICES?
Method of Encapsulation Preparation
Please select type of package you are interested in
$225 Drop off and Pick up provided by you$250 pick up and drop off from the encapsulator
Additions
tincture $40 for 4oz droppercolor print $40 for acrylic colormothers broth $15 (TCM only)Placenta Smoothie $35
Are you interested in more information regarding
Childbirth Education ClassesBirth DoulaPostpartum Doula
A $50 non refundable retainer is required to hold your spot, please choose payment method:
Email Money Transfer (preferred)checkcash
Are you on any medications? if so, what medications?
My placenta does not contain any communicable diseases such as Hep B, Hep C, HIV or Aids (please initial)
My care provider and I will determine that my placenta is healthy and suitable for consumption (please initial)
I will not hold Nicole Chambers or RIDGE MEADOWS DOULA SERVICES responsible if my placenta is accidentally damaged during the process or if the processing does not result in my ability to consume it (please initial)
Nicole Chambers does not determine whether my placenta is suitable for consumption and makes no guarantee of my personal results from the consumption (please initial)
Please sign (type) your name
Date signed

Verification

Please enter any two digits *Example: 12
This box is for spam protection - please leave it blank:

Childbirth Education Request Form

Name
Phone Number
Email Address
Estimated Due Date?
Name of Care Provider
Where are you planning to birth?
How did you hear about RIDGE MEADOWS DOULA SERVICES?
What are you hoping to cover in a Childbirth Education Class?
Are you interested in any additional information?
Birth DoulaPostpartum DoulaPlacenta EncapsulationParenting Support

Verification

Please enter any two digits *Example: 12
This box is for spam protection - please leave it blank:

Copyright © 2022 · Annabelle Reloaded Theme by Dinosaur Stew

Copyright © 2022 · Annabelle Reloaded Child Theme on Genesis Framework · WordPress · Log in