Statements of Policy
BirthFocus and the undersigned accept this agreement as a definite binding contract. Payment is for the services of the provider only, not for the resultant products of the provider’s expertise, and is due at the time of service. It is agreed that there is no right of refund contained in these policies, contracts, agreements, and guidelines.
The BirthFocus is not a pharmacy, pharmaceutical representative, holistic practitioner, herbalist, or medical doctor. Benefits of placenta encapsulation are supported by ongoing research but have not been evaluated by the Food and Drug Administration due to the nature of this service, which is not something they evaluate or regulate. Placenta Encapsulation or placentophagy, (as it pertains to this contract agreement, is for natural nutritional supplementation and is intended solely for ingestion by the mother who has birthed the placenta(s) and not for her family members, friends, or other individuals), is a natural nutritional supplement and as such cannot be guaranteed to produce specific results. The services offered by the BirthFocus are in a culinary capacity and not a clinical, pharmaceutical, or intended to diagnose or treat any condition. Families who choose to utilize the services take full responsibility of their own health, their research, and use of products. BirthFocus makes no guarantee as to product efficacy, but does guarantee the highest quality of service.
Fees for the services described here are:
Standard Placenta Encapsulation Package ($350):
· Phone/email support to answer any questions before birth and throughout the postpartum period
· Placenta pills and umbilical keepsake
· Placenta prints
Deluxe Placenta Encapsulation Package ($400)
· Everything in the standard package
· Placenta tincture or smoothies.
Additional option Broth produced from Traditional Chinese Medicine ($5.00 additional charge)
I have read, understood, and agreed to the above procedures, information, and Statement of Policy. By submitting below I give my consent to release my healthy placenta to BirthFocus for the purposes of encapsulation. I accept the responsibility of gaining possession of the placenta after the birth, handling of the placenta appropriately prior to BirthFocus taking possession of it, and notifying the Independent Placenta Service Provider of my birth. I authorize the release of my placenta to BirthFocus and I authorize BirthFocus to transport my placenta for preparation.