Get Lactation Consultation Intake And Consent Form Margaret

Completing the lactation consultation intake and consent form is an essential step in seeking support for breastfeeding. This guide will walk you through the process of filling out the form accurately and efficiently, ensuring that all necessary information is collected to facilitate your consultation.

Follow the steps to complete the form online:

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal information as the mother. Fill in your name, telephone number, street address, email address, city, state, zip code, and provide details about your pregnancy and children.
3. Next, include your partner’s name and your birth date, as well as how you prefer to receive the report from this consultation.
4. Continue by documenting your baby's details including the baby’s name, birth date, and sex.
5. Include the due date, weeks of gestation, and place of birth under the infant section.
6. Document the weight history by providing dates and locations as applicable, along with the weight details.
7. Enter the names, addresses, and contact information for both your obstetrician and pediatrician.
8. Indicate if you were referred by someone, and whether you attend any breastfeeding support groups.
9. Next, outline the main concern that brings you to this consultation, and list any other professionals you have consulted about breastfeeding issues.
10. Mention your favorite baby care or parenting expert in the designated section.
11. Lastly, read the consent statement and sign by entering your name and the date to conclude the form.
12. Review all entered information for accuracy, then save your changes. You can download, print, or share the form as needed.

Complete your lactation consultation intake and consent form online today!