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Welcome to our Practice
Birth Form
Birth Services
Services Offered – Childbirth at Home A Labor of Love
Doula Labor Support with a Midwife
Licensed Midwife-Certified Professional Midwife-Shelly Girard, LM, CPM, MPH
Licensed Midwife-Certified Professional Midwife Seannie Gibson, LM, CPM
About our Logo
Midwives
Birth Planning – Values Clarification
Choosing a Midwife
Why Choose Natural Childbirth?
Why Midwives and Homebirth?
Breastfeeding Support
Well-Woman Gynecology and Family Planning Services
Placenta Encapsulation
Empowered Birth
Pregnancy Yoga
Hula Hooping for Pregnancy
Visualization for Childbirth Preparation
Acupuncture and Traditional Chinese Medicine for Pregnancy
Chiropractic and Pregnancy
Pregnancy Exercise
Pregnancy Massage
Craniosacral Therapy for Infants and Children
Books & Videos
Testimonials
Testimonials
Workshops, Classes, Trainings
Search for:
Home
Our Practice
Welcome to our Practice
Birth Form
Birth Services
Services Offered – Childbirth at Home A Labor of Love
Doula Labor Support with a Midwife
Licensed Midwife-Certified Professional Midwife-Shelly Girard, LM, CPM, MPH
Licensed Midwife-Certified Professional Midwife Seannie Gibson, LM, CPM
About our Logo
Midwives
Birth Planning – Values Clarification
Choosing a Midwife
Why Choose Natural Childbirth?
Why Midwives and Homebirth?
Breastfeeding Support
Well-Woman Gynecology and Family Planning Services
Placenta Encapsulation
Empowered Birth
Pregnancy Yoga
Hula Hooping for Pregnancy
Visualization for Childbirth Preparation
Acupuncture and Traditional Chinese Medicine for Pregnancy
Chiropractic and Pregnancy
Pregnancy Exercise
Pregnancy Massage
Craniosacral Therapy for Infants and Children
Books & Videos
Testimonials
Testimonials
Workshops, Classes, Trainings
Search for:
Birth Form
admin
2022-09-15T10:05:51-07:00
Birth Form
Send us your details. We will get back to you as soon as possible… Shelly
Pregnant Woman's First Name
*
Pregnant Woman's Last Name
*
Partner's First Name
Partner's Last Name
Street Address
City
State
Zipcode
Phone
*
Email address
*
Estimated due date
*
Doctor or Midwife
*
Preferred place of delivery
*
Pregnant Woman's Age
*
First baby:
*
Yes
No
Goals for your upcoming birth
*
Comments
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