Prepare My Placenta For Burial

Prepare My Placenta ~ for later burial

by Tania at Boab Woman
Personal Details
Name*

First NameLast Name
Address*

Street Address

additional address information here

City/SuburbState

Post Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Partner's name and number (or other person I might communicate with).
Estimated date of birth

DayMonthYear
Or birth date.
Placenta collection & order delivery*
One pick up and delivery fee for multiple services/bookings.
Address for collection/delivery if different to above.
eg Home or RDH
Placenta Burial or Preservation details.

(Preservation time is not infinite)
Whether you're preparing for a burial right away, or travelling with your placenta there is an option for you. Both options provide your own placenta prepared just the way you want, wrapped beautifully in burial friendly packaging.
Choose from the following preservation options.
Your placenta...

Dehydrated.Frozen.
Select your inclusions.

Lavender flowersChamomile flowersI will provide an inclusion for the parcelNo inclusions
Umbilical cord.

Leave the cord attached for complete burial.Remove, dry and package the cord separately to keep.
Any other considerations? What is your cord shape preference if not a heart.
Bloodborne Pathogen Declaration*

I have no bloodborne pathogens. eg. HCV, HBV, HIV etc.I have a bloodborne pathogen and will disclose below to discuss.
Details of bloodborne pathogen.
Placenta Storage Declaration*

I have read and understand the placenta storage requirements and will adhere to them if I intend on consuming my placenta. I will advise Boab Woman if I intend on consuming my placenta so that care will be taken.
Cost: $160

Upon submission of this from you will be emailed an invoice. Once payment is received your booking will be confirmed. Please contact Tania at Boab Woman on 0428030281, or boabbirth@gmail.com for any further questions.
Should be Empty:

Prepare My Placenta ~ for later burial

Personal Details

Placenta Burial or Preservation details.

Choose from the following preservation options.