If you have questions and would like more information please 

Sign up for a FREE Consult!

If you are ready to move forward with Placenta Services please be prepared to complete & submit this Order Form, make payment in full (or set up a Payment Plan through PayPal), and confirm your order details with Lauren over text.

By doing this you will secure your place on Lauren's Placenta Calendar 

Important Medical Info - Read Completely

Below is a list of Medical Conditions that could affect Placenta Encapsulation. In some cases, we simply need to adjust the method used when processing the Placenta.  In other cases, we need to adjust dosage instructions.  And in rare cases, Placenta Encapsulation is not a safe option.  You and your baby's medical information will always be kept confidential.

Let Lauren know as soon as possible if you have any of the following Medical Conditions at any time during pregnancy:

• Gestational Diabetes (or Type 1 or 2 Diabetes)
• GBS (Group B Streptococcus)
• PUPPS
• Cholestasis
• Any STIs (sexually transmitted infections) including, but not limited to, HIV or Hep B or C
• Any high-blood pressure conditions like pregnancy-induced Hypertension or Toxemia, Preeclampsia, Eclampsia, or HELLP Syndrome

Let Lauren know as soon as possible if your baby has any of the following genetic disorders:

• Sickle Cell
• Tay-Sachs
• Thalassemia

Discount and/or Payment Plans

**Read completely**

Discount Options:

1) Apply $30 off your entire Order by entering this Coupon Code at the end of the Order Form: discount30

• This option does NOT include pick-up of the Placenta
• This option does NOT include delivery of Placenta Products
• You must have a designated person who can deliver the Placenta to Lauren & pick up your Placenta Products in Menifee, CA (92584)

2) If you are a Client of Amanda Matthews (Birth Doula & Birth/HypnoBirth Educator) apply $25 off your entire Order by entering this Coupon Code at the end of the Order Form: Amanda

Payment Plan:

• PayPal Plan: choose the PayPal Pay Later option at Checkout and choose to pay in 4 installments or in monthly installments

Preparation Method

If you Order Placenta Capsules or Placenta Powder you can customize the Preparation Method used. There are 2 prep methods: Raw or Gentle or choose Half & Half! 

Raw

This prep-method renders a more iron-rich product and higher capsule yield. Clients report feeling a boost of energy when taking these capsules. This Prep Method is also more beneficial for postpartum anemia. Do not start taking your Raw capsules until after your milk has come in. 

NOT recommended for anyone with:

1. A history of anxiety, insomnia, or caffeine sensitivity
2. Pregnancy-induced hypertension (high blood pressure)
3. Pregnancy-induced toxemia
4. Preeclampsia
5. Eclampsia
6. HELLP syndrome

Gentle

This prep-method renders a slightly lower capsule yield but offers some nice healing benefits. Recommended for anyone with:

1. A history of anxiety, insomnia, or caffeine sensitivity
2. Pregnancy-induced hypertension (high blood pressure)
3. Pregnancy-induced toxemia
4. Preeclampsia
5. Eclampsia
6. HELLP syndrome

Half & Half

Enjoy the benefits of both types of prep! As long as Raw prep is safe for you! Raw prep capsules or powder is ideal for your Morning dose, and Gentle prep capsules or powder is ideal for your Afternoon dose! 

Payment Policy

1. Payment, in full, is required upon completion of this Form (or set up a Payment Plan through PayPal)
2. Once this Form & Payment is recieved, Lauren will reach out via Text to confirm your Order details 
3. Once payment is made, in full, your place on Lauren's Placenta Calendar is secured.
4. Forms of payment accepted include: PayPal or Venmo
5. Payment Plan: if you pay via PayPal you can choose to pay in 4 installments or monthly installments
6. See 'Refund Policy' on following slides for refund details

Discount Policy

Option 1: $30 Discount on your entire Order - apply coupon code at the end of the Order Form on previous slide.  Your total will be automatically adjusted.

Coupon Code: discount30

• Does NOT include placenta pick-up
• Does NOT include product delivery
• You must have a designated person who can deliver the placenta to Lauren & pick up your placenat products in Menifee, CA (92584)

Option 2: $25 Discount on your entire Order IF you are a Client of Amanda Matthews (Birth Doula & Birth/HypnoBirth Educator) - apply coupon code at the end of the Order Form on previous slide. Your total will be automatically adjusted.

Coupon Code: Amanda

Payment Plan Policy

PayPal Plan: when you choose to pay via PayPal you can choose to make your payment in 4 installments or monthly installments (this option is set up directly through PayPal when you go to pay)

Refund Policy

1. After the placenta has been picked up & processed, no refund can be issued for any reason.
2. A full refund is only issued if the placenta is determined "unsafe for consumption" (by Lauren) for reasons beyond the Client's control (see Safety Policy) and if Lauren has not yet traveled to pick up the placenta.
3. A full refund, minus $50 (for time and/or travel) will be issued for all other reasons, including:

• Client changed their mind about moving forward with Encapsulation services
• The placenta was determined "unsafe for consumption" for reasons within the Client's control (see Safety Policy)
• Lauren has already traveled to pick-up the placenta

Safety Policy

• It is important to understand the main reasons a placenta could be determined “unsafe for consumption” and avoid anything that is within your control.
• Notify Lauren before she travels to pick up your placenta if any of the following happen:

Reasons a placenta could be determined “unsafe for consumption” that are beyond Client’s control:

1. Maternal fever of 100.4 or above (which is typically indicative of an infection)
2. The placenta having come into contact with high amounts of fecal matter during delivery (determined by your OB)
3. Certain conditions or active infections that were unknown to the Client before time of birth

Reasons a placenta could be determined “unsafe for consumption” that are within Client’s control:

1. The placenta being left out at room temp for longer than 4hrs
2. The placenta being taken to Pathology
3. The placenta being handled without gloves
4. The placenta being rinsed, washed, or coming into contact with any substance or chemical
5. The placenta being refrigerated for more than 4 days without being frozen

Travel & Timing Policies

• Lauren charges no travel fee for Clients giving birth and living within a 60-mile radius of Menifee, CA (92584) 

• For Clients outside of Lauren's 60-mile radius there are 3 options:
• 1) Pay a Travel Fee: Pay $0.70/mi for every mile over 60 to pick-up the Placenta and for every mile over 60 to return Home, and again to drop-off your Products and return Home. 
• 2) Meet in the Middle (this option is FREE): Have a friend or family member meet Lauren for the Placenta hand-off and again for the Product delivery.  Lauren can drive up to 60 miles in your direction and your Person can make up the difference. This is our most popular option!
• 3) Shipping (ideal for those too far for driving): You can choose to ship your frozen Placenta to Lauren and then have your Products shipped back to you. Exact shipping costs vary depending on location and size/weight of packages.

*Payments will be requested via PayPal or Venmo by Lauren directly. Payments must be made before travel and/or shipping can proceed.

----------------------------------------------------------------------------------------

• Placenta pick-ups & Product deliveries are made every day of the week and are subject to Lauren's schedule for that day.  Pick-ups & deliveries are typically not made before 8am or after 8pm. If you give birth during Lauren's "off" hours" simply keep the placenta in the cooler with fresh ice underneath and on top, so that is safely sandwhiched in between ice.
• Please choose a designated "Placenta Person".  This person will be in charge of making sure the Placenta remains safely on ice in a cooler until it can be picked up.  This person will also be in contact with Lauren to let her know of any medical conditions or concerns that might have occured during labor/delivery and to let her know when she can come to pick up the Placenta.  
• When Lauren arrives to pick up the Placenta, she will be in contact with your designated "Placenta Person" who will bring the cooler out to the Hospital Main Entrance where Lauren will be waiting to take it off their hands.  This allows for a qucik pick-up process that doesn't interrupt Mommy/Baby bonding.
• Turn-around time, from Placenta pick-up to Placenta product delivery, can range from 24-96 hrs (Depending on: 1) Lauren's schedule for that day, 2) If there is another Client's placenta already processing, 3) Which Products/Services were ordered).
• Lauren's schedule on any given day will ultimately determine how quickly she can pick up your placenta or deliver your products. 

Communication Policy

1. Communication is essential to success; and knowledge is power, so never hesitate to reach out to Lauren at any time with questions, concerns, and requests.
2. Notify Lauren when you are in labor and have your "Placenta Person" let her know when the placenta is ready for pick-up. 
3. Lauren makes every attempt to pick up the Placenta as quickly as possible , and always keeps in communication with the"Placenta Person".
4. Notify Lauren of any and all medical conditions that arise at any time during pregnancy, labor, or delivery.

Release of Liability

1. Lauren Taylor has been double-trained & certified in Placenta Encapsulation Services and is up-to-date on her ServSafe Food Handling and Bloodborne Pathogens Safety certifications.
2. Lauren Taylor is not a Medical Professional.
3. Client agrees to informed consent regarding consumption and use of her placenta products.
4. Client agrees to follow any & all safety guidelines regarding the consumption, use, and storage of her placenta products.
5. Client understands and agrees to abide by the Policies outlined previously.
6. Client understands the limitations, warnings, & risks associated with Placenta consumption.
7. Client understands that Placenta consumption is not associated with "medical treatment" of any kind and to always consult with their Physician for any medical questions or concerns.
   
8. Client agrees that Tree of Life is not liable for any accidental damage to the Placenta and/or Placenata Products that is beyond Lauren Taylor's control (Examples include, but are not limited to: power outage while the Placenta is dehydrating OR a catastrophic auto accident while transporting the Placenta or finished Products)
9. Client agrees that Lauren Taylor will not be held liable for any reason.

On the next slide you will Pay for your Order via PayPal or Venmo

~ Paying via PayPal offers different payment options if needed ~

(Text Lauren @ 415-652-6886 to let her know that you have submitted this Form, just in case there is a problem with your Submission)

After you Submit Payment you will be redirected to the Client Checklist 

This may take a few moments so please be patient

It is very important for you and your designated "Placenta Person" to carefully read trough this Checklist 

Click each box as you read through it and at the end when you hit Submit you can choose to download to a PDF copy