• Placenta Encapsulation

    Consent form
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  •  -  - Pick a Date
  •  -  - Pick a Date
  • Autorization

  • 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.

  • Refund Policy

    • In the event you decide you don't want to do the encapsulation before I pick up the placenta. I will refund any payment made except the deposit which will still pay for my availability for your due date.
    • In the event the placenta is not release to you for any reason from the hospital I will refund any payment made except the deposit which will still pay for my availability for your due date.
    • In the event you decide you dont want the encapsulation but the placenta is in my posession already but I have not started to work on it yet, I will refund any payments except the deposit and a travel fee.
    • In the event you dont want the encapsulation after I have started the process no refunds will be made and full payment is due.
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