Under the Birch Tree
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About the process
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Enquiry Form
Send a general enquiry and check for availability
around your EDD.
!!
this is not the booking form !!
Please check your junk mail folder for my reply!
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Name
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First
Last
Your details are not accessed by anyone other than Samantha Birch. They will remain private and will never be shared.
Email
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Your details are not accessed by anyone other than Samantha Birch. They will remain private and will never be shared.
Estimated Due Date
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This information is vital to ensure availability for your service. I am aware that your baby will choose the date you birth.
Your suburb of residence & planned birth location
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Essential information for collection and delivery of your placenta & products. Your details are not accessed by anyone other than Samantha Birch. They will remain private and will never be shared.
Have you taken any Covid-19 injections during this pregnancy? Please type "YES" if you had any of the Covid-19 injections during this pregnancy and how many weeks you were for each. Please type "NO" if you have not had any covid-19 injections during this pregnancy.
*
Research - ongoing as to the effect on the placenta after the covid-19 (MRNA) injections rolled out. If you have had the covid-19 injection/s during your pregnancy please add the weeks you had each one so we can discuss the safety of consuming your placenta.
I would like to ask....
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Ask any questions you may have here. Your details are not accessed by anyone other than Samantha Birch. They will remain private and will never be shared.
I would like to go ahead and make a booking please.
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Check here if you have chosen to make a booking and would like the Booking Form Password.
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Who shared the placenta love with you?
Add all that apply
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I am a past client
Midwife
Doula
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Hospital
Directory/FB Groups
Naturopath
Chiropractor
Acupuncturist
GP
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Google
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Add the name of the person or business here.
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Add the name of the person or business that you heard about this service from.
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Welcome
About Samantha
Services & Fees
Testimonials
Contact
BLOG
FAQ
About the process
Quiz
Booking