Loading your design experience… We couldn't find your stay. Please check the link in your email or reach out to hey@sanhuhouse.com. Designing Your Experience Sanhu House Intake Form Thank you for your interest in Sanhu House. We are excited for you to join the family and start your road to recovery. Let's get to know you and your journey! Contact Information Please include information for yourself and any partner/family member who will be included in the design process. We will need mobile numbers to setup your Care Team Whatsapp group during your retreat. Welcome, there. We've pre-filled what we already know from our conversations. Please review and update anything that's changed. First Name (required) Last Name (required) Email (required) Mobile Phone (required) Mother's DOB Baby's expected due date / Birth Date (required) Partner's Name, Email and Phone Number Home Address (required) Address you would like to receive Postpartum Support How did you hear about us? (required) Select an option Social Media Friend / Word of Mouth Doctor / Provider Referral Google Search Press / Article Podcast Other Are you planning a scheduled c-section or vaginal birth? (required) Select an option Vaginal Birth C-Section Undecided How many times have you given birth? (required) Select an option 0 (first baby) 1 2 3 4 5+ Who is your OBGYN and/or Midwife? Which Hospital or Birthing Place? (required) Are you planning on using Insurance / Benefits? (required) Sanhu House is out-of-network for all insurance and benefit companies. We are able to provide a superbill for reimbursement. Yes No Undecided Your Insurance Provider and Health Plan? (required) For both spouses if possible. N/A if not applicable. Do you have an HSA/FSA account? (required) Tell us about your pregnancy. Anything you can share about your journey into motherhood will be carefully considered for your postpartum experience with Sanhu House. Tell us about your postpartum. Whether you have delivered yet or not — tell us about your postpartum support plan, anything you are excited or concerned about. If you have already had your baby, please include the baby's birth date and any important birth information. What Retreat type are you interested in? (required) Whether you are still contemplating your care or sure of the support you need — give us some guidelines to start the conversation. All-inclusive Hotel Stay Custom In-Home Retreat Undecided Are you interested in amplifying your recovery with additional services? All services are an add-on cost. Select as many as you wish to learn more about. Ayurveda Abhyanga Massages Postpartum Lymphatic Massages Acupuncture + Herbal Consult Belly Binding Cranio Sacral Therapy Reiki Energy Healing Sound Bath Therapy & Meditation Pelvic Floor Therapy Chiropractic Therapy for Mom & Baby Postpartum Mental Health Support Couples Therapy (Postpartum Transition) Hypnotherapy (Birthing/Childhood Trauma, Birth & Postpartum Anxiety) Submit ✓ Thank you. Your design experience has been received. Jy-ah will reach out within 24–48 hours to set up your design call.
