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B
Birthing Instinct, LLC
Congrats!
Prenatal Support
Labor & Birth Support
Postpartum & Newborn Support
This Is Me
A Support Package For Everyone
Meet My Team
What People Are Saying
Work With Me
More
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Work With M
e
Name: First & Last ~ What do you like to go by?
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What is your Estimated Due Date? If unsure can you tell me the first day of your last period?
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Email
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Phone
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What city do you live in and what is your zip code? Would this be where you plan to give birth?
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If you have given birth before please tell me about your previous births. How many times have you been pregnant? How many times have you given birth?
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Have you ever had a surgical birth? C-Section
Please list any health conditions you may have. Ex, high blood pressure, anemia, lupus, factor V, Rh-, anxiety, depression, diabetes, asthma, fibroids, etc.
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I want to know more about:
What a consultation looks like
Preconception Health Coaching
Pregnancy Support
Postpartum Support
Miscarriage Support
Homebirth Support
Water Birth
Call The Midwife
Sneak Peek Gender Testing as early as 6 weeks
Unity: Genetics Testing as early as 10 weeks
Something Else
Is there anything else you would like to share with me?
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