Nashville Placenta Waiver & Release of Liability

By ordering services from Coastal Midwifery, LLC, doing business as Nashville Placenta, I hereby acknowledge, understand, and agree to the following:

Personal Decision
I understand and acknowledge that the choice to encapsulate or consume my placenta is a personal decision. I understand that placenta products are not intended to diagnose, treat, cure, or prevent any physical or mental disease, ailment, or symptom. I am choosing to consume my placenta based on my own personal, cultural, or spiritual beliefs.

Information Provided
I acknowledge that Coastal Midwifery, LLC has provided me with information regarding both the potential benefits and the risks of placenta consumption. I have read and understood all relevant materials. I understand that my placenta will be prepared in accordance with OSHA guidelines and applicable food safety standards, and will be cleaned, cooked, dehydrated, and encapsulated in a sanitary and professional environment.

Handling and Safety
If my placenta is not encapsulated in my own home, I acknowledge and accept that it will be handled in a safe and sanitary setting. I confirm that I have provided accurate information about my health history and that I have disclosed whether I have tested positive for communicable diseases, including but not limited to sexually transmitted infections (STIs). I further understand that Coastal Midwifery, LLC maintains client records as required for safety and compliance. I also understand that it is my responsibility to make arrangements with my birth facility (hospital, birth center, or home birth team) to ensure the release of my placenta in accordance with their policies and procedures.

Release of Liability
I hereby release Coastal Midwifery, LLC, including its owner, agents, and representatives, from any and all liability, claims, or causes of action arising out of or related to my use of placenta products (including but not limited to capsules, tinctures, or smoothies), once those products have been delivered to me. This release includes, but is not limited to, any adverse reactions, side effects, or outcomes experienced by myself or others. I further release Coastal Midwifery, LLC from liability in the event of transport delays, accidents, or any unforeseen circumstances outside of their reasonable control.

Acknowledgment of Agreement
By placing an order with Nashville Placenta Services / Coastal Midwifery, LLC, I confirm that:

• I have carefully read and fully understood this waiver.
• I have received sufficient information to make an informed decision regarding placenta services.
• I voluntarily accept and agree to the terms outlined above.