PLACENTA ENCAPSULATION AGREEMENT FORM

PLACENTA ENCAPSULATION AGREEMENT FORM

The Nurtured Leaf, LLC // Alecia Smith Placenta Specialist

***Alecia is based out of the North Enumclaw area and serves any area that is within 40 miles from zip code 98022. Coverage outside of the 40 mile radius will include an additional travel fee. Please contact her at info@thenurturedleaf.com for details.

By completing this form you are hiring The Nurtured Leaf, LLC for Placenta Encapsulation Services.

****Please Note: The Nurtured Leaf is not available for due dates between December 15th, 2018 and December 31, 2018. If you are a repeat client due during these dates, please contact me. Thank you!