Payment

MIDWIFERY SERVICES PAYMENT

Please select from the options below and complete the payment information. If you have any questions, contact [email protected].

CHOICES*
- Initial Enrollment Deposit - Home Birth Package ($2,000)
- Current Balance Due Payment (Enter your amount)
- Consultation Fee ($75)
Initial Enrollment Deposit - Home Birth Package
This non-refundable payment, along with your signed contract, secures your enrollment with our midwifery services and the commencement of your care.
Price:
Current Balance Due Payment
This provides you the option to pay your currently due balance, as communicated by Beautiful Signs Midwifery staff.
Consultation Fee
This non-refundable payment secures your clinical consultation with our midwifery team via 40-minute phone call.
Price:
Describe the topic you would like to discuss
TOTAL
$0.00
Client Info
Name*
First Last
Email*
Birthdate
MM slash DD slash YYYY
Billing Info
Credit Card
Card Details
Cardholder Name
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
TOTAL TO CHARGE:
$0.00