BREATHE Midwives Care Package

We have Four type of care packages:

1. Pregnancy care packages.

• Some essential items needed during your pregnancy

2. Early postpartum (newborn upto 3 months) 

• Some essential items needed during the immediate postpartum

3. Late postpartum care package (3 months up to 1 year)

• A few essential items that you can utilize for the rest of your perinatal period

4. Sexual and reproductive health care package

• A few essentials that you may need to ensure you have a good foundations for overall sexual and reproductive health.

Please note only 1 care package per person for each pregnancy and/or postpartum period.

Sexual health care packages are available based on availability: 1 package per year.

Currently our packages are based on supplies, funding and donations. Packages may vary based on these factors. Items in care packages may vary and are based on availability.

You must register to be consider for a pacakge. You can not register on behalf of other indivudals (i.e., family, friend, client) however, you may share the registration form or help them fill it out for themselves. Care package usually are available 1-2 weeks after request for pick up once approved.

Terms and Conditions

I understand participation in the BREATHE Midwives care package program is strickly on a voluntare basis. I hereby voluntarily release, discharge, waive and hold harmless, on behalf of myself, my heirs, executors, administrators, and assigns, BREATHE Midwives, and its contractors, staff, students, volunteers, officers, agents and assigns, the Board of BREATHE Midwives, from any loss, damage or injury to persons or property arising from the items and/or equipment, whether arising through the Program’s negligence or imposed by law.

In no event shall BREATHE Midwives be liable to me for indirect, consequential or special damages, including without limitation, lost use, revenue or profits. I agree to indemnify and hold BREATHE Midwives and its contractors, contractors, staff, students, volunteers, officers, agents, harmless from and against all liabilities, claims, actions, proceedings, damages, losses, costs and expenses, including attorney’s fees, for all injuries or death or any person, or damage to any property occurring or arising from or connected with, directly or indirectly, my possession, use of the items in the care package.

No warranties, expressed or implied, including without limitation suitability, durability, fitness for a particular purpose, condition, or quality have been made by the care package program, directly or indirectly in connection with the items and/or equipment. The items are “as is”. I acknowledge that I have examined the equipment and that its condition is acceptable. I agree that it is my responsibility to keep and maintain the items/equipment in good condition, use it in a careful and proper manner, and to comply with all manufacturer recommendations, applicable laws and regulations.

I understand that the care package program does not provide supervision or instruction for use of the items/equipment. I understand and acknowledge that use of certain items/equipment may involve risk of serious injury, including permanent disability and death. I agree to refrain from injesting and/or using the items/equipment in a manner inconsistent with its intended design and purpose.

I have read this Liability Waiver and have signed it voluntarily. I understand that I am giving up substantial rights by signing it. I have read this entire document, and my signature below indicates my agreement with the above statements.

I understand that this form contains Personal Health Information (PHI). By submitting this form, I am consenting that I am authorized to submit your my PHI to BREATHE Midwives to use for the purpose of providing access to care, our programs, or a referral. I understand that the informaiton collected may be used to help improve the program. You also consent to submitting your information to BREATHE Midwives, in which we may need to contact you.