Thank you for your interest in placenta encapsulation with Birth Script Doula Services! Please take a few minutes to read this contract in full and complete the short questionnaire. Once you submit this form, you should hear back from me within 1-3 days to confirm your place on my calendar. If you have any additional questions, you can email at birthscriptdoulaservices@gmail.com.
What is placenta encapsulation?
Placental encapsulation is the practice of ingesting the placenta after it has been steamed, dehydrated, ground, and placed into pills. Traditionally, this is taken by the mother and is believed to impart numerous health benefits. It is frequently taken shortly after giving birth, during a woman’s menstrual period, or during menopause with the belief that it helps counter some of the symptoms of menopause.
Limitations & Disclaimer
I am not a licensed medical professional and I am not able to diagnose, treat, or prescribe for any health condition. Services and fees are for the preparation and encapsulation of your placenta, not for the sale of the pills. No specific benefits or effects are promised and any benefits will vary from person to person. Some of the ascribed benefits of placenta consumption are supported by research; however these benefits have not been evaluated or approved by the United States government or the Food and Drug Administration. It is your responsibility to determine whether using placenta preparations may be beneficial to your wellbeing postpartum.
Client Responsibility
It is your responsibility to notify Birth Script Doula Services within 24 hours of the birth so that we can work together to make arrangements. It is your responsibility to discuss release of your placenta from the facility where you will give birth and to ensure proper storage of your placenta in a refrigerator or cooler with ice.
Description of Services
I will pick up your placenta from your birthing location, carry out the encapsulation process in my home, and deliver your capsules to you. I prepare the placenta according to Traditional Chinese Medicine principles. I gently steam the placenta, slice it thinly, and dehydrate it. When it is completely dry, I powder and encapsulate it. At no time are any other ingredients or additives introduced into the process. I maintain carefully sanitized equipment, and I have completed training in bloodborne pathogens. I carry out proper cleanliness and preparation precautions to ensure the highest quality of placenta encapsulation possible. When I deliver your placenta capsules, I will provide you with a detailed written explanation of the proper storing and handling of the finished placenta pills and suggestions for daily ingestion recommendations.
Fees
The fee for this service is $300, which includes the preparation and encapsulation of the placenta, a storage container for capsules, written instructions for storage and handling, and guidelines for taking your capsules. In all cases I request a deposit of $75 upon signing this contract, with the balance payable upon receipt of your finished capsules. Payments may be made online.
Refunds
In the event your placenta is unavailable to you (i.e. sent to Pathology and not released) or if your placenta has been contaminated with a bacterial infection, Birth Script Doula Services will happily offer 8 postpartum doula hours in lieu of encapsulation. Please inquire about the benefits of a postpartum doula. If you would prefer, you can be reimbursed fees paid, minus a $75 non-refundable deposit. I have read, understood, and agreed to the above information.
I accept the responsibility of gaining possession of my placenta, and notifying my placenta specialist within 24 hours of my birth. I understand the importance of appropriate handling and storage of the placenta. By signing below I authorize Birth Script Doula Services to prepare my placenta for my own personal use.