• Prenatal, Birth, & Specialized Infant Support Form

  • Format: (000) 000-0000.
  • Expected Due Date / Baby’s DOB*
     - -
  • Requested Start Date*
     - -
  • Number of Children
  • Type of Care Requested*
  • Preferred Shift & Duration*

  • Final Acknowledgment & Submission

    By submitting this application, you agree to the following:Search Activation: I authorize NestWell to begin the recruitment and Gold Standard vetting process for my household.Agency vs. Caregiver Fees: I understand the activation fee is paid to the agency for professional services and is separate from any wages or salary paid to a caregiver.Refund Policy: I acknowledge that the activation fee is non-refundable. However, if NestWell is unable to find a suitable match for my family, a 75% refund may be issued at the agency's professional discretion.Good Faith Participation: I agree to respond to candidate profiles and participate in the interview process in a timely manner to ensure a successful placement.

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      Prenatal, Birth, & Specialized Infant Support

      NestWell Newborn & Postpartum Intake

      Activation Fee: $210 (Normally $350 — 40% Off)


      To begin your customized recruitment and screening for Newborn Care Specialists, Birth Doulas, or Postpartum Doulas, please select your payment option below.


      What You Receive:


      Top 10 Matches: Targeted sourcing of your most compatible specialists.


      Full Coordination: We manage all interview and trial logistics.


      Employer Suite: Custom employment contracts and payroll guidance.


      Extended Security: 3 months of 24/7 support, 1 free replacement, and 5 emergency backups.


      Terms & Conditions:


      Non-Refundable: This fee covers immediate sourcing and vetting labor.


      75% Refund Policy: If we cannot find a qualified match, a 75% refund may be issued at agency discretion, provided the family participated in the interview process in good faith

      $210.00$210.00
        
      Total
      $0.00$0.00

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