Contact us.info@gentlebirthcenter.com(503) 315-BABY (2229)13160 Jerusalem Hill Rd NW, Salem, Oregon 97304 Name * First Name Last Name Email * Subject * Message * Phone (###) ### #### Are you currently pregnant? If so, when are you due? What insurance do you have? How did you hear about us? * Select all that apply Former Bella Vie Client Found via Google Search Discovered on Social Media Saw a Bella Vie Commercial (on a streaming platform or cable network) Learned about Bella Vie at an Event Booth Former Bella Vie Client (I have received care at Bella Vie before and am seeking continued services.) Referred by a Former Bella Vie Client (Someone who previously received care at Bella Vie recommended you to us.) Referral from a Healthcare Provider or Doula Noticed Your Sign While Driving By Other (Please specify) Please share how you learned about us Thank you! Your message has been sent. A member of our staff will be in touch shortly.