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United Black Birth Collective
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Tomasina Oliver
Basmah Karriem
Weluna Finley
Zakiya Robinson
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Birth Service Packages
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United Black Birth Collective
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Home
About
Birth Plan Readiness Quiz
Find Birth Support Services
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Birth Service Packages
Individual Birth Services
Mental Wellness Therapy
Wellness Consultations
Massage, Reiki & Related Services
Professional Courses
Meet the Team
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Tomasina Oliver
Zakiya Robinson
Basmah Karriem
Weluna Q. Finley
Payment Options
Insurance
in-network in the state of Virginia
please complete the following insurance information form to inquire about coverage
Order Number
Your Name
*
Relationship to client
*
Self
Child
Spouse
Client Name
*
Client Date of Birth
*
Please double check the year month and date for accuracy
Insurance Company
*
Medicaid
Anthem
Cigna
Aetna
Client Email Address
*
Client Mobile Number
*
Preferred follow-up method (choose one)
*
Email only
Either email and text
Member ID/Subscriber ID
*
Group Number
*
Insurance Company Phone Number
*
Client Home Address
*
Address listed with your insurance company
Client Zip Code
*
How did you hear about us? What website or person can we thank?
*
Comments
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Pregnancy Birth Plan Quiz
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