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MY PHILOSOPHY

I believe in providing care that is respectful, individualized, and gentle

BIRTH IS A TRANSFORMATIVE EXPERIENCE THAT SHOULD BE SUPPORTED IN A INDIVIDUALIZED AND LOVING MANNER WITH TRUST IN THE PROCESS

Contact Alicia of La Rosa Midwifery Inc.
Because I offer a variety of services from pre-conception to birth, postpartum and beyond this form is to let me know how I can serve you best.
Please fill it out as fully as possible.
For more information and to schedule a free consultation please fill out the form below

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Home address and/or area you live in *

Preferred contact method *

Phone Email Text

Are you a new or previous client? *

Are you currently pregnant? *

Yes No Maybe

First day of your Last Menstrual Period? *

Estimated Due Date *

I would like a consultation to discuss: *

If you chose Other for consultation reason please specify here: *

Please tell me a little about yourself, your specific situation and why you would like a consultation: *

Which number pregnancy is this? *

Have you had a ceserean section with any previous pregnancies? If so how many? *

How did you hear about La Rosa Midwifery? *

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Home
Classes & Groups
Midwifery Services
About
Testimonials & Reviews
Belly Binding
Finances & Insurance Billing
Blog
Recommendations
Contact Alicia