Agreement *
I have read, understood, and agreed to the above procedures, information, and statements of policy. By typing my name below, as an electronic signature, I give my consent to release my healthy placenta to Sacred Space Birth Services 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 Sacred Space Birth Services taking possession of it, and notifying Sacred Space Birth Services of my birth within 24 hours. If selecting Off-Premises services, I authorize the release of my placenta to Sacred Space Birth Services and I authorize Sacred Space Birth Services to transport my placenta for preparation. * Please type your name, as your electronic signature, to show that you have read all of the above information and that all of the above information submitted by your is true and accurate.