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PLACENTA ENCAPSULATION BOOKING FORM
Have you smoked in this pregnancy?
Yes
No
Have you ever tested positive to transmittal diseases such as HIV, Hep B, Hep C etc
Yes
No
Do you understand a travel fee may incur if delivery is outside of the Shepparton region?
Yes
No
Do you understand it is your responsibility to discuss the release of your placenta from the chosen establishment where you choose to birth, and ensure correct storage of the placenta?
Yes
No
Do you declare that the information you have provided is true?
Yes
No
Are you aware a $100 non-refundable deposit is required to secure your spot?
Yes
No

Disclaimer

Information here has not been evaluated by the Therapeutic Goods Administration. The services offered by Feminine Healing (Georgia Sessions), are not clinical, pharmaceutical or intended to diagnose or treat any condition. Placenta consumption is not meant to replace any medical advice, medical treatment, or prescribed medicines. I do not make any guarantee to the efficiency of the placenta product, however, I do guarantee the highest quality of service in preparing your product. Please consult your doctor or midwife if you are experiencing postpartum depression, low milk supply or any other health concern. 

By utilising the service provided, you take full responsibility for researching and using the remedies properly. 

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