I authorize Sherly Lopez owner of Womb Sprout to take my placenta home withing 24 hours of my baby beeing born for encapsulation.
I understand this process and consumption of the placenta has not been scientifically tested or approved on the safety or effectiveness by aby goverment agency, and I am doing this on my own free will. By signing the consent form I wave any further responsability from Womb Sprout or it owner.
With this signed form I also agree to send a 50.00 dollars deposit which secure Sherly's availability during and around my due date.