Barah Postnatal & Placenta Care Products: Placenta Encapsulation Waiver

Placenta Encapsulation Waiver

Barah Products, LLC is not a licensed medical professional and does not diagnose, treat, or prescribe for any health condition. No specific benefits are promised, and benefits have not been evaluated by the FDA. It is your responsibility to determine if using placenta products will be of benefit. Placental supplementation is intended solely for the person who has birthed the placenta(s). It is your responsibility to discuss release of your placenta from your place of birth and to ensure proper labeling and storage of your placenta until it can be picked up or delivered for encapsulation. Your placenta should not be treated with alcohol, formalin or any other preservative.
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The placenta should be kept on ice or in a refridgerated unit until pick up. I acknowledge that the placenta will be stored in a manner that retains its freshness.
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If either mother or baby has an infection at the time of delivery or within the following 24 hours after delivery - it is important that you let us know. Please sign that you will notify us within 24 hours if an infection is diagnosed.
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I please type your name here understand that an acknowledgement of placental
practices and choosing to encapsulate my placenta is not intended to prevent or treat any physical or mental diseases, ailments or symptoms and that I am choosing to consume my placenta for my own personal beliefs, whether it be spiritual or cultural. I also acknowledge that there are no statewide regulations preventing me from obtaining and encapsulating my placenta in my home.

I understand that the act of ingesting my placenta in any form has not been tested, nor approved by the FDA, and I ingest this at my own risk. Furthermore, I release Barah Products, LLC and its representatives from any liability. I understand that Barah Products, LLC are not medical professionals and will not diagnose, treat or prescribe for any health
condition. Services and fees are for the preparation and encapsulation of your placenta and not for the sale of the pills.

I understand that my placenta has been handled and encapsulated according to OSHA and
Georgia Food Safety and Handling standards, and has been cleaned, cooked, dehydrated and put into pill form in a sanitary and sterile work space. Upon receiving my placenta capsules from Barah Products, LLC, I waive any and all rights to hold the specialist responsible for any undesired effect of consuming the capsules. I do not hold Barah Products, LLC responsible or liable for any transport mishap that is beyond their control (ex. car accident or detainment), and understand that I am choosing to have the specialist encapsulate my placenta in my specialists home.

I have provided Barah Products, LLC with blood documentation stating that I have been tested for STD’s and the results were negative. It is my responsibility to supply documentation regarding my STD status and I understand and trust that Barah Products, LLC retains blood work records for each client.

I understand that upon receiving the pills, Barah Products, LLC is no longer liable, including but not limited to any other person(s) ingesting my own placenta capsules.

All balances are required to be paid in full when signing this agreement.

By signing below I acknowledge and affirm that I have read, understood and agree to the terms of this contract.
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