Postpartum Client Intake & Informed Consent

Holistic Postpartum Support with Kira Wildheart

Thank you for welcoming me into your home during this sacred time. This form helps me understand your current pregnancy or postpartum experience, your current needs, and anything important for me to know before providing care.

My intention is to create a safe, nourishing, and supportive space for you as you recover and adjust to life with your baby.

Please answer the questions as honestly and completely as you can. If there is anything you would rather discuss with me privately, you are always welcome to do so.