Client Forms
After you've booked your consult, you will be sent an automated email asking to complete two separate forms: the Consent Form and Client Health History Form. This allows me to review your pregnancy & health history, which includes your breastfeeding concerns, prior to my visit. This also enables us to maximize our hands-on-time together during my visit. Two hours goes by quickly!
​​Please click on each button to complete the two separate forms. It only takes a few minutes. They may be completed from your phone, tablet, or computer.
*These forms must be completed by midnight before your scheduled appointment. They are important for the safe assessment and evaluation of you and your baby. Your appointment may be rescheduled if not completed in time.
Thank you!
Our HIPAA Notice of Privacy Practices is provided here, for your convenience.

© 2018 by Hampton Roads Lactation, LLC. All Rights Reserved.                                                         

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