Lactation Consultation Your lactation consultation appointment should be approximately 90-120 mins.We will work together to form a plan to help you and your baby feel your best. Name * First Name Last Name Email * Phone * (###) ### #### Baby's Birth Day MM DD YYYY Partner/ Support Person's Name First Name Last Name Please select which appointment type you are requesting? * Initial Consultation, $150 Follow-up Consultation, $125 Virtual Consultation, $85 Full Home Address * If you are requesting virtual appointment, skip this portion. What are your chief concerns/ issues? How many weeks gestation was your baby born at? Baby's weight at birth? Baby's last weigh in and date? Payment Fee for initial consultation is $150, follow-up consultation $125, and virtual appointment $85. Payment via Venmo is preferred. If you're outside of 10 mile radius, please add $35 for each additional 10 miles. You will be sent directly to my Venmo acct for payment after submitting this form. Check the box below if you need alternate payment method: Thank you for submitting your consultation form! You will be redirected to scheduling, then make payment. Once everything has been completed, you will receive a confirmation email with everything you need to know about your upcoming appointment.Thank you so much!Warmly,Anna Payment
