Contact information
Welcome, This is an inquiry for for Placenta Encapsulation, Print, and/or Cord Keepsake Service. Please fill out this form at your earliest convince and I will respond back as soon as I am able. I look forward to supporting you in your pregnancy, birth, and postpartum journey!

Shelly Varelli Holistic Therapy & Birth Services www.shellyvarelli.com
Your first and last name/pronoun(s): *
Your phone number and your email address: *
Referred by/found my services through: *
Your estimated due date: *
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I will provide pick up of your placenta during normal business hours within 30 minutes of Toledo. Where are you giving birth? *
Name and city of hospital (if applicable) 
Your home address *
If you are interested are further that 30 minutes from Toledo, can you arrange for a midpoint pick up or drop off? Please describe. 
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