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The Pregnancy Tool Kit
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The 4th Trimester
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Schedule Your In Person Prenatal Session
Schedule Your Virtual Prenatal Session
Cart
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HOME
About Janeé
Testimonials
Lets Connect
Belikeplants
Allowing plants to help remind and reclaim our essence.
Client Portal
Logistics
Resources
The Pregnancy Tool Kit
Inductions & C-Sections
The 4th Trimester
Dubsado Dashboard
Schedule Your In Person Prenatal Session
Schedule Your Virtual Prenatal Session
Contact Form
Name
*
First Name
Last Name
Email
*
May I text you for any last minute reschedules or cancelations on my end?
*
Due to being on-call, there's a chance I may need to cancel or reschedule to head to a birth or postpartum visit.
Of course!
No, thank you!
Phone
I'd only use it for *last minute* cancelations otherwise, you'll receive an email in advance.
Country
(###)
###
####
What borough/town are you located in?
*
What services are you interested in?
*
In-Person Birth Support
Virtual Birth Support
Birth & Postpartum Support
Postpartum Support
Meal Preparation Support
Childbirth Education
Birth Work Consultation
For Birth Clients Only:
What is your estimated due date?
*
MM
DD
YYYY
Will this be your first delivery (vaginally or by belly)?
*
Yes
No
Where do you plan on giving birth?
*
Please detail the name of your provider & their practice.
*
For Postpartum Clients Only:
When did you give birth?
MM
DD
YYYY
Do you have an estimated start date for me?
MM
DD
YYYY
Please share additional details about your pregnancy and/or postpartum. If you're requesting services for someone else, please detail. The more I know prior to our meeting, the better prepared I can be. Thank you!
*
Please write "N/A" if not.
Who referred you to Be Like Plants?
*
If you found me on the internet or social media, please detail. The referral process is also to protect my safety. Thank you!
Thank you for completing this form.
Thank you!
