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Placenta Encapsulation Booking Form

Placenta Encapsulation in Ireland

Booking Form

To secure your booking we require a €50 non-refundable booking deposit, this also gets you your “Chill Pack”.
Your chill pack comes complete with everything you need for the hospital, to keep your Placenta safe & chilled.
Once we receive your deposit we will courier your Chill Pack to you.

Prices are based on Cork collections, there may be additional courier charge for pick up outside of Cork – please get in touch for more details.

For Your Own Protection We Must Have an Honest Answer to The Following Questions

Have you smoked during your pregnancy?

Have Your Ever Tested Positive For The Following:

HIVHepatitis BHepatitis C

Where did you hear about PLACENTA TLC?

Please Indicate The Services You Require To Book:
Simple Capsules €220Steamed Capsules €220Framed Baby’s Cord €20Tincture €65
Essence €60Homeopathic Mum and baby remedy €60Free homoepathic remedies e.g. Arnica to aid healingHomeopathic Post Labour kit which includes 9 remedies €60
All the information you have given is correct and to the best of your knowledge.You have thoroughly read and will follow all the guidelines that will be delivered to you to ensure your placenta is handled and chilled correctly .Full payment will be made by cash /Cheque or transfer upon collection of the placenta.
By using this form you agree with the storage and handling of your data by this website.

To secure your booking we require a €50 non-refundable booking deposit.