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Fika Midwifery Home Birth Kit Order Form
The home birth kit includes everything you need for your home birth. You will be billed $150 for these supplies once you fill out the form, and we will distribute your birth tub and home birth supply kit to you between 36-38 weeks of pregnancy.
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Email
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Your email
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Your answer
7/23/2020
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MM
/
DD
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YYYY
Mattress Cover Size
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Queen
King
Depends Size
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S/M
L
XL
Are you renting a tub and associated water birth supplies from Fika Midwifery? (Cost: $200 for tub, disposable liner, lead-free hose, water bandit to hook up hose to faucet, thermometer, fish net)
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Yes
No
If you are renting a tub, what size hose do you need (please measure or pick the larger size if you are unsure!)
25 foot
50 foot
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Would you like to have any optional add-ons added to your kit?
Wishgarden Afterease for uterine cramping after birth ($12)
Earth Mama Angel Baby Peri-Spray ($12)
Earth Mama Angel Baby Nipple Butter - 1 oz ($8)
Earth Mama Angel Baby Diaper Balm - 1 oz ($8)
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