14 Warrina Rd, Caringbah South NSW 2229

0415 683 074

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Natural Beginnings

Holistic Health

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Home
Meet Virginia
Services
Photography
Shop
Blog
Resources
- Natural Beginnings Library
- Links
Contact

Placenta Services Booking Form

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Placenta Services Booking Form

Full Name *

Mobile # *

Partners Name *

Mobile # *

Email Address *

Street Address *

Apartment, suite, etc

City *

Due Date *

Day

Month

Year

Planned Birthing Location *

How did you hear about Natural Beginnings Placenta Services? *0 / 300

Services *

Raw - $280TCM (pre-steamed) - $300Natural Beginnings Premium Package RAW - $350Natural Beginnings Premium Package TCM - $370Natural Beginnings Premium PLUS Package RAW - $410Natural Beginnings Premium PLUS Package TCM - $430Twins – add $50Out of area – add $40 (eg. RPA, RHW/POW, Bankstown), or $50 for LiverpoolSame day (not pre-booked) surcharge - add $30Please refer to the Placenta Services page for different method descriptions

Which shape would you like your cord keepsake made into? *Love heartSpiral: FlatSpiral: 3DFirst Letter of Baby's Name

Add Ons

Cord Dream Catcher ($90 alone, or $70 with any encapsulation service, or price included in the Premium Plus Packages)Smoothie ($60 alone, or $40 with encapsulation)Tincture (+ $40, or price included in Premium packages)Herbal Cream (+ $30, or price included in the Premium Packages)

During the encapsulation process I say the Medicine Buddha mantra to infuse extra healing qualities. Are there any other chants, incantations or special words you would like included or instead during the process? *0 / 300

Terms & Conditions

I understand that…. (Please check all boxes to show you have read these terms).

I am not buying my own placenta but paying Virginia Maddock (Natural Beginnings) to prepare my baby’s placenta and encapsulate it for my own personal use. Placenta encapsulation is the process of preparing the placenta after the birth of the baby by dehydrating, powdering and placing it into capsules for the mother to ingest. The placenta will be handled in a manner appropriate for safe food preparation from the birth

I am not carrying any transmittable diseases such as Hep B, C, Syphyllis, or HIV 1 & 2. Medical records must be sighted as proof! Please either scan and email to me or take a photo of your antenatal record with blood results and email to me: virginia@naturalbeginnings.com.au or SMS to me @ 0415683074. For those with positive results, I can encapsulate in your own home on your equipment – please contact me for further info. This will entail a $50 surcharge

I have not had the mRNA Covid vaccine in the previous 3 weeks before birth and will let Virginia know if I have. If so Virginia retains the right to refuse service due to potential transmission of the mRNA spike protein.

I live within the St George / Sutherland Shire area, otherwise an extra fee of $40-$50 will be charged for pick up and delivery, or express postage return.

Virginia Maddock can not determine with absolute certainty, whether my placenta should be consumed and makes no guarantee of my personal results from the capsules. (If it looks, feels and smells off then I will advise against preparing it for encapsulations and recommend burial instead!)

The placenta capsules will be returned to me within 24 - 72 hours of me releasing my placenta to Virginia. (Immediate clamping and cutting of the baby’s cord can increase this time – see below.)

I am aware that delaying clamping and cutting the baby’s cord until after it stops pulsing is highly beneficial to the baby and will help it with extra blood volume, oxygenation and transfusion of iron. I am also aware that cutting the cord immediately will cause a longer placenta preparation time due to the extra time it takes to drain the excess blood as well as a longer time to dehydrate. (I strongly recommend you request delayed cord cutting in your birth plan. Your baby will thank you for it!)

The capsules should not be taken during times of illness, such as the common cold, flu, or mastitis. I understand that taking the capsules can make these conditions worsen.

I will not hold Virginia Maddock (trading as Natural Beginnings) responsible for any ill effects I may experience after choosing to take the capsules and I release Virginia from any and all liability.

I consent to an anonymous photo of my placenta or placenta artwork to be shared on the Natural Beginnings webpage or social media for the purpose of education and/or promotion

Client Responsibilities

I understand that…. (Please check all boxes to show you have read through these).

It is my responsibility to notify Virginia about my birth on 0415 683 074 to make arrangements to begin preparation of the placenta. This is best done via phone or text message *DURING HER BUSINESS HOURS ONLY (*7am – 9pm, or 8pm if outside of my local area). Failure to do so may result in delayed pick up of placenta.

My placenta must be prepared for transport by putting it in a plastic bag then placed in the white placenta bucket provided by the hospital, (otherwise an esky/cooler bag) along with loose ice cubes from the hospital birthing unit, or into a refrigerator. Failure to do so may result in decreased potency of nutrients, hormones, other beneficial attributes of the placenta, and even spoilage of the placenta which would render it unusable for encapsulation. If it is going to be more than 3 days before the placenta can be prepared, it should be frozen. A frozen placenta will take somewhat longer to prepare since it needs to gently defrost prior to preparation.

My placenta must not be treated with alcohol, formalin, or any other preservative. Please let Virginia know if there are any health concerns which may affect the health of the placenta or the health and safety of anyone who may come into contact with the placenta.

It is my responsibility to discuss release of the placenta from the hospital where I give birth. It is my organ and no one has the right to withhold it from me. (The hospital will usually require you to sign a release form upon release of it to you).

Fees & Refund Policy

I understand that…. (Please check all boxes to show you have read through these).

In the event your placenta is unavailable to you (e.g. sent to Pathology and not released) or if you change your mind and choose to terminate this contract after paying the deposit, any fees paid will be refunded in full, minus $50 administration fee.

If you choose to terminate this contract less than 2 weeks before your EDD or after releasing your placenta to me but before any preparations have begun, I will return your placenta to you for disposal. Your 50% deposit will be retained, but any other portion of the fee you have paid will be returned.

There will be no refund and payment will be due in full once preparation has begun, even if you choose not to take delivery of the finished capsules.

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0415 683 074

Address:
14 Warrina Rd
Caringbah South
NSW 2229

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