PLACENTA ENCAPSULATION AGREEMENT FORM

PLACENTA ENCAPSULATION AGREEMENT FORM

The Nurtured Leaf, LLC // Alecia Smith, Independent Professional Placenta Specialist Since 2013

CURRENT AVAILABILITY REFLECTED BELOW. This will be updated as clients sign up:

2021 DUE DATES //
October 2021: FULL
November 2021: FULL
December 2021: CLOSED

2022 DUE DATES //
January 2022 Due Date: 3 open
February 2022 Due Date: 4 open
March 2022 Due Date: 4 open
April 2022 Due Date: 5 open
May 2022 Due Date: 5 open

**Please note, if my schedule is currently full for your due date and you are a returning client, please reach out to me!

***PLEASE READ BEFORE SIGNING UP. I am based out of the rural Enumclaw area and serve any area that is within 30 miles from zip code 98022. Coverage outside of the standard 30 mile radius will include a small travel fee based on distance, beginning at $25. Please contact me at info@thenurturedleaf.com for specific details if you have questions, prior to signing up.

**2021 HOLIDAYS** For clients who are due around the holidays, I am asking for patience and extra time to come pick up your placenta. Most especially for those who give birth on 11/24 or 11/25, 12/31 or 1/1. I provide each client with everything needed to properly store their placenta safely for 24-48 hours, as long as it is properly stored with ice that is refreshed, or within a refrigerator. Typically I am able to arrive within a few hours to pick up the placenta for preparation, though this does depend on the time of birth and when I am notified. I ask for a little additional time for clients due during the holidays. Please let me know if you have any questions before signing up.

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