Placenta Encapsulation Agreement

Please indicate which preparation method you would like





Please indicate which additional services you would like.






The balance of the total fee shall be paid in full by the time of delivery or pick-up of the finished placenta pills, unless otherwise specified here:

By signing this Contract, you agree that you have read and understand the Service Descriptions and Agreement for BB Birth Services Placenta Encapsulation Service and that you agree to the terms and conditions outlined therein, as well as the stated fee.

Thank you for selecting me to process your placenta. I look forward to providing you with this important service. Please call me at 580-618-2960 when you have given birth and are ready for me to pick up the placenta. Best wishes for a beautiful birth experience.