Contact Us

If you want placenta services, please click the Placenta Service Order Form.

We ARE accepting placenta services at this time.

Interested in Midwifery care? We offer a free Meet and Greet so we can get to know each other and learn what services we offer at Aspen Roots Midwifery.

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

Address

We ask for your address (at least your cross streets/city, as we often come to your home at some point in care and we want to make sure we are available for your area.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you currently pregnant?

YES

NO

What is the first day of your last period (LMP)?

Due Date/ Date of baby's birth? Is this based off of your period or an ultrasound?

What number baby is this for you?

Have you had a Cesarean birth? If so, how many? how long as it been since your last C-section? Have you had a vaginal birth since?

We can do VBAC at home as long as it has been 18 months since your last C-section and you live within 30 minutes of a hospital that can do a C-section.

What services are you interested in?

Home Birth Midwifery Care

Placenta Services

Other

Location of birth

please put the name and address of your birthing location. or list home birth

Do you have any health concerns that may consider you high risk?

For example: Diabetes; high blood pressure (140/90); seizure disorders; bleeding disorders; alcohol use; tobacco or marijuana use; or anything else that may affect your pregnancy?

We would love to learn more about you, or how we can serve you:

IE What are looking for in a midwife? Why did you want to have these services? Other questions?

How would you like us to contact you?

We have found that if you have an Gmail that our replied are often put into Gmail's SPAM folder. We prefer to reach out to you via text to set up a Meet and Greet. Please select the best way for us to get a hold of you!

Text me please!

Call me please!

Email me please! And I will keep an eye out in my spam folder just in case!

Aspen Roots Midwifery, LLC

Heidi Hennigan Cohen, CPM, RM