Placenta Encapsulation Client Information

Thank you for sending your retainer fee. Please fill out the information below so that we can add you to our schedule and so that we can call you to discuss next steps.

Placenta Encapsulation Retainer Initial Client Info

First Name: *
Last Name: *
Preferred Phone Number: *
Email Address: *
Baby's Estimated Due Date or Birth Date: (Leave blank if not known/not applicable.)
Where do you plan to birth? (Enter the name of hospital, or home birth, as applicable) *
In what area do you live?
Are there any other services that interest you?
(Check all that apply.)Childbirth education — SarahBirth doula services — SarahBirth doula services — MichaelaBirth doula service — PaigeHealing from birth — SarahPostpartum doula services — MelanyProfessional birth photography — MelanyEssential oil consultation — TraciProfessional doula training — Sarah
Anything you'd like us to know?

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Upcoming Classes & Trainings

Professional Doula Training
Fall session: Oct 16-19, 2025
Where: St. Louis, MO
Last minute sign-up? Fill out our inquiry form asap to join

Professional Doula Training
Summer session: June 11-14, 2026
Where: St. Louis, MO
Registration just launched! Sign up by 10/15 to save $250!

10 Week Group Childbirth Class
When: Wednesday nights,
beginning Oct 29, 2025
Time: 6:15-9:00 pm
Where: Creve Coeur
*Class size limited to 12 people*
Register today to reserve your spot!

10 Week Group Childbirth Class
When: Monday nights,
beginning Nov 10, 2025
Time: 6:15-9:00 pm
Where: Creve Coeur
*Class size limited to 12 people*
Register today to reserve your spot!

Private Childbirth Classes

When: based on your schedule
Where: our Creve Couer office
Contact us to book your classes!

Note to Mercy Birthing Center patients and prospective patients: MBC’s childbirth class requirement is fulfilled by Purple Lotus Doulas’ classes.

Many other hospital and homebirth midwives recommend our childbirth classes to their patients!