Contact The Royals Newborn Specialist Care

Service Areas

Phone

(917) 566–8492

Email

tanicia@royalsnewborn.com

Name

First

Last

Phone

Spouse/Partner First Name

Spouse/Partner Last Name

Spouse/Partner Phone

Spouse/Partner Email

Street Address

Address Line 2

City

Zip / Postal Code

Country

Please choose which type of service you are interested in. Check all that apply.

What vaccinations are preferred of your team member?

Are you willing to offer a driving stipend to open your candidate pool? ($20-$25 a shift).

If we are out of your service area, are you able to provide live-in accommodations to a team member? (Private room/bed)

Are you expecting a singleton, twins or triplets?

Due Date/DOB (This helps us keep track of adjusted age if different that DOB)

Do you have parking?

Do you have pets?

How did you hear about The Royals Newborn Specialist Care* Select Referral Source

Is there anything else that would be important for us to know while working in your home?

Newborn Care Specialist Service Agreement