Contact MeWest Valley | Central PhoenixARIZONAEsmeralda.Verdy@doularosa.com(623) 282-7874 Name * First Name Last Name Email * Phone (###) ### #### Preferred Method of Contact * Email Text Message Phone Call Services of Interest: * Labor Bundle Childbirth Education Class + Bodywork Bundle Private Childbirth Education Class Other (please explain below) Expected Due Date * MM DD YYYY Birthing Location * Name of hospital / birth center / "at home in Goodyear, AZ" / etc. What city are you located in? * Who does your birth team consist of? * Please include provider(s), significant other, family, friends, etc. Message * How did you hear about me? * Thanks for contacting me!I will be in touch with you shortly.