Breastfeeding Consultations

Please print and complete these forms for your breastfeeding consultation appointment.

 Client Intake Form

Consent for Breastfeeding Consultation Services

Mother and Baby Health Survey Intake Form

Preparation for Office Consultation Visit

Milk Expression Tips

Positioning Baby at the Breast

Directions to Our Office

Home Visit

Please print and have these forms ready at your home visit.

Home Visit Instructions

Milk Expression Tips

Positioning Baby at the Breast

Pump Rental Required Forms

Please print and bring the following forms with you to rent your pump.

Pump/Scale Rental Coversheet

Addendum to Medela and Ameda Pump/Scale Rental Form

Milk Expression Tips

Directions to Our Office

Additional Information

Pass It Forward Program - Desperately Needed, Greatly Appreciated

Directions to Our Office

To view these documents, you must have Adobe Reader installed on your computer.  You can get this free program by clicking here.