Lean on Me Package Menu Example

While totally customizable, This is a common menu chosen-

Pre- Birth Delivery includes:

Vital Fire Tincture- for After Pains

Mothers Ease Tinture – Anxiety and Milk Support

Mama Pick Me Up Tincture – for Mood and to Banish Baby Blues

Herbal Sitz Bath Blend for After Birth

Rose Body Oil

Mama’s Happy Tea- Nourishing Nervine and Uterine Tonic tea

MENU DAY 1: Holi powder baby blessing & home clearing, belly bind intro and firming salve

Congee Dish – Spiced Gingerbread

DAY 2: Dry Brushing/Warming oil application and belly bind

Sacred seed granola/ Sweet water lactation tea (Lactation nutrition)

Ginger Fried Rice with tempeh

DAY 3: Abdominal hot stone press and belly bind

Roasted Beef Bone Broth for sipping

- Sweet Potato Mother Bowl

-Coconut Egg Custard – Local organic free range eggs

DAY 4: PeriSteam introduction, and set up, belly bind

-Kitchari

-Chocolate Avocado Mousse

DAY 5: Peri Steam, belly bind, nursing shoulders moxa application

-Carrot Bliss Soup with Cashew Cream

-Chia Dream Drink

DAY 6: Peristeam, Foot Soak, belly bind

-Red and Roasted Tomato Soup

-Bliss giving fresh Almond Milk

DAY 7: PeriSteam, Umbillicus Moxa, Optional Belly Bind

-Golden Milk

-Flourless Ginger Orange Almond Cake with Chocolate Drizzle

Informed Consent Waiver-

* As a Mother Roaster, Stephanie Domingue is NOT serving as a medical professional.

She is sharing the wisdom of her teachers and offers loving, healing touch. * I AM aware that Stephanie is offering information on traditional practices used to restore body balance.

*These services are in no way intended to diagnose, treat, cure or prevent any health related condition. All information provided is intended for educational purposes only. If you have concerns about your health, please consult a licensed medical professional.

Disclaimer: The FDA has not evaluated these herbs for its safety and effectiveness. It is not intended to Diagnose, Treat, Cure, or prevent any health-related disease or medical condition. This product was produced in a home kitchen that is not subject to state licensure or inspection and that may also process common food allergens such as tree nuts, peanuts, eggs, soy, wheat, milk, fish, and crustacean shellfish. The herbs/products used are not intended for resale.

*If I experience any irritation or discomfort, I will listen to my body, discontinue herb use or activity. I assume full responsibility for any and all damages, which may incur through participation. I also affirm that I alone am responsible to decide whether to use knowledge shared by Stephanie. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Stephanie Domingue and Rocky Mountain Mother.

_____________________________________________________________________________________________

Fees - Typical rates are $50 an hour, plus supply costs.

The price for the services described and agreed upon-

(Lean on me package with postpartum meal emphasis) is ($2,550)

*a minimum of one visit per week.

Final payment is to be paid at the first home visit unless other arrangements are made.

Alternative Add On or Supports:

Doula For a Day

A 2 hour visit, focused on nurturing your mothering wisdom, allowing rest, healing and bonding with your family, baby care while you nap, support with baby basics of feeding, soothing, sleeping, along with spouse/partner support, sibling adjustment, meal preparation and light household chores, including errands. Includes, herbal support, & two A-La-Carte services of your choice.

Investment $250

Doula For a Night

You settle into bed knowing that you are going to get real rest.

The next part is up to you. *If bottle feeding/ I feed, change, burp and settle your baby back to sleep. You are able to enjoy a full night’s rest. *For breastfeeding, I bring your baby to you, when the baby is ready to nurse, assists with latch/position and observes to ensure the baby is nursing effectively and you are comfortable. After the baby finishes nursing you go back to sleep for a few more hours of sound sleep until the next feed. I will rest or nap, as the baby sleeps until the next feed.

Investment $400 for 8 hours (additional hours 50$ an hour)

8 hr, Overnight Doula care with breakfast included: $475

Meal Delivery Only is $200 per additional meal including delivery

Herbal Supports are included in all packages specific to the Mother's needs. Additional herbal blends/consultations, can be added on for an additional charge.

*hand-crafted organic herbal tinctures

*Salves

*Herbal sitz baths blends

*Herbal oil infusions and applications

* Blended Herbal Teas

*Herbal V-steam blend

*Moxa treatments

Role of the Postpartum Doula:

My major role as a Postpartum Doula is to make sure Mama heals and feels cared for during this powerful rite of passage into motherhood. Your specific healing package includes support with meals. Just a reminder that as a postpartum doula I do not scrub bathrooms, vacuum, clean refrigerators, ovens or scrub floors. I will wash any dishes I use to make meals. Although I do not provide medical care, I am well versed in the normal postpartum recovery period and infant care. Should I feel the course of recovery is not going as planned, I will advise you to contact either your physician/midwife, or the baby’s doctor.

Due to liability issues, I will not transport mother or baby in my car. I reserve the right to refuse to perform any duties that I feel are out of my scope of practice or may endanger my physical well-being. Verbal abuse by a client or family member will be reason for termination of this agreement without notice or refund of initial deposit.

Please note that I do not work holidays.

Illness Clause: If I am showing symptoms of illness on any of our scheduled days, I will notify you immediately so we can reschedule. If you or a member of your household is showing symptoms of illness, please notify me immediately so that we can reschedule the shift. If I arrive to a shift and members of the household are unwell, I reserve the right to reschedule and charge a travel fee plus hourly for my time. I want everyone to be healthy and safe.

I look forward to serving you, as a partner in the healing evolution your soul’s journey into motherhood.

I have read this letter of agreement describing the services and agree that it reflects the discussions that I have had with Stephanie. All questions have been answered to my satisfaction. I agree to the terms of services and payment of fees outlined above. In the event of illness or emergency, meals will still be provided during agreed week, and services will be rendered when next available.

*If I experience any irritation or discomfort, I will listen to my body, discontinue herb use or activity. I assume full responsibility for any and all damages, which may incur through participation. I also affirm that I alone am responsible to decide whether to use knowledge shared by Stephanie. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Stephanie Domingue and Rocky Mountain Mother.

I have read and fully understand and agree to the above terms of this Liability Waiver Agreement. I am signing this agreement voluntarily and recognize that my signature serves as complete and unconditional release of all liability to the greatest extent allowed by law in the State of Colorado.

Client name ____________________________________________

Signature:______________________________________________ Date: _________