Reach Out To Cinnamon — Rooted Midwifery

free 30 minute consultation

cinnamon@rootedmidwifery.co

(323) 250-2249

Long Beach, CA

Expecting Parents

Birthing person's Name

First Name

Last Name

Partner's name

First Name

Last Name

Phone

(###)

###

####

When is the best time to reach you and your partner?

If known, what is your Estimated due date?

Select

Have you had a home birth before?

Select

Have you had an unmedicated birth before?

Select

Are you receiving aid from The Victoria Project?

Why are you interested in home birth?

Do you or your partner have any fears around birthing naturally at home?

Is your family supportive of you choosing a home birth?

What kind of support are you looking for from a midwife?

Do you and your partner have any knowledge about the human anatomy and the natural birthing process? If not, are you and your partner open to learning as well as taking the initiative to do your own research?

How did you hear about Rooted Midwifery?

Write any questions you have for Cinnamon below.

Affiliates & Students

Name

First Name

Last Name

Phone

(###)

###

####

Dropdown

Please identify your title

If you are a student midwife and looking for a preceptor, I am not accepting students at this time but feel free to ask any guidance questions you may have.

If you are a birthworker, do you have experience with homebirth?

What ethnic demographic do you usually work with?

When is the best time to reach you ?

How did you hear about Rooted Midwifery?

Write any further questions you may have.

If you have a website and social media, please leave below.

Placenta Encapsulation

Name

First Name

Last Name

Phone

(###)

###

####

What is your Estimated due date?

Where do you plan to give birth? Please provide name and address .

When is the best time to reach you ?

How did you hear about Rooted Midwifery?

Write any further questions you may have.

Childbirth Education

Name

First Name

Last Name

Phone

(###)

###

####

What is your Estimated due date?

Where do you plan to give birth? Please provide name and address .

When is the best time to reach you ?

How did you hear about Rooted Midwifery?

Write any further questions you may have.