Placenta Remedies Booking Form

Fill In Your Details Below And I Will Be in Contact With You
 

**  To learn more about the different remedies available before booking, please see the remedies guide button or refer to my Placenta Encapsulation page.  You MUST read this document before booking in!  Alternatively, you may always contact me

Placenta Encapsulation Service County Limerick, Ireland
Name *
Name
Estimated Birth Date *
Estimated Birth Date
Have you Informed your Care Provider About Keeping Your Placenta *
Please Check Below That You Have Read the Remedies Guide (File Above) Completely Before Booking In. This Must Be Read. *
For The Health and Safety Of Your Placenta Specialist, Please Answer Truthfully and Tick Below if You Have Ever Tested Positive For The Following:
Have You Smoked Regularly During Pregnancy *
Would Like Your Placenta Remedies Processed In Your Own Home? (€300)
Would you like to receive offers plus tips for pregnancy and the postnatal period via email? We promise not to spam you!
Remedy Options *

** Upon completing this form, you will receive confirmation of your booking via email within 48 hrs. A contract will be emailed to you and a €50 deposit will be required to secure your place.  If you require immediate assistance for placenta collection, please Call 083-810-8212 anytime.  Thank you for booking in with Limerick Doula Services!

**  An additional placenta collection fee will apply for pick up further than 40 km from Limerick.  Please enquire for a quote.  This additional fee is based on your exact distance so it is a fair price for all my clients!