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Newborn Care Specialist
Client Information

Almost There!

Please fill out the form below. Feel free to contact us at info@anannyforu.com or (206) 525-1510 if you have further questions!

"*" indicates required fields

Client Information

Your Name*

First Last

Spouse Name

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Your Primary Phone*

Spouse Primary Phone*

Your Employer*

Your Occupation*

Spouse Employer*

Spouse Occupation*

Type of Delivery Planned*

Scheduled Cesarean Date

MM slash DD slash YYYY

Gender (if known)

Will he be circumcised?*

Delivery Hospital/Clinic*

Physician/Midwife*

Pediatrician*

Anticipated Needs

What services do you anticipate having the Newborn Care Specialist assist your family?*

Infant Care

Breastfeeding Support

Household Management

Errands

Sleep

Overall Support

Transport Siblings

Nutrition/Meal Prep

Pet Care (List pets and details in notes)

Other

Other

Notes

What is the ideal schedule and length of time you anticipate having your Newborn Care Specialist?

Days per week*

Please enter a number from 1 to 7.

Hours per day*

Please enter a number from 1 to 24.

Will you need overnight care?*

Number of weeks*

Do you plan to breastfeed?*

Have you breastfed before?*

Do you plan to pump?*

Will you be using:*

Does your partner?*

Do you have experience in infant care?*

Have you or your partner taken an infanct CPR class?*

Have you experienced any complications or conditions with your pregnancy?*

Please explain:

Do you have a past history of complicated pregnancy and or birth?*

Please explain:

Do you anticipate any special conditions may exist after the birth of your baby?*

Please explain:

Is this your first child?*

Please describe your other children:

How much time will your partner be taking off work after the baby is born?*

Is your partner interested in learning more about infant care?*

Will any other family members or friends be staying in your home?*

Will they be there when the Newborn Care Specialist is present?*

Do you have any other outside help such as relative, housekeeper, cleaning service or childcare provider?*

Please explain:

Would you like your Newborn Care Specialist to assist with visitors?*

Please explain:

Are there any special dietary concerns in meal preparation for your family?*

Does anyone in your household smoke?*

Do you have a religious affiliation?*

Are you comfortable with a Newborn Care Specialist who has a different religious affiliation?*

Please add any other information you feel is important for us to know:

How did you hear about us?*

Why Choose Our Newborn Specialist?

Intensive Screening

Our rigorous screening process includes background checks, interviews, and reference checks to ensure the highest quality of care.

Experienced Caregivers

Our caregivers are experienced, compassionate professionals who are dedicated to providing exceptional care for your children and household.

Personalized Matching

We take the time to understand your family’s unique needs and preferences to match you with the perfect caregiver.

Reliable Support

Whether you need long-term assistance or last-minute care, you can rely on us to provide reliable support whenever you need it.

Are You Ready To Hire A Nanny?

About A Nanny For U

The most experienced and premier nanny service in the Pacific Northwest. We pride ourselves on our highly effective matching service so that you have peace of mind in every nanny placement we provide.

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Phone: +1(206)-525-1510
Email: info@anannyforu.com

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