private consultation inquiry

Private Consultation Inquiry

* Indicates required field

birthing person's name *

First

Last

pronouns *

Email *

Phone Number *

birth partner's name (if applicable) *

First

Last

pronouns *

Estimated Due Date *

Planned place of birth *

How did you hear about my services? *

I would like to have my private session *

In-person in my home Via Zoom

I would like to meet for *

30 minutes (virtual only) 60 minutes 90 minutes

Are you interested in one time or recurring sessions? *

one time recurring I'm not sure yet

If in-home, please provide your address *

Line 1

Line 2

City

State

Zip Code

Country

Please suggest a time frame, typical days/times that might work best for scheduling your session *

What are you hoping to get out of this session? *

Is there anything else about yourself, your experience with pregnancy or your plans for birth that you feel would be helpful for me to know ahead of time? *

Submit

Full payment is required to schedule your private consultation session.

Once a date and time are mutually agreed upon,
you will be asked to pay via Venmo or PayPal.

The cost for a virtual session is $25 per 30 minutes
The cost for an in-person session is $50 per 30 minutes