Consult Inquiry - In Person and Online Lactation Consults

Full Name

Email Address

Insurance or Self Pay?

Baby’s date of birth

Is this for in-person or virtual?

Date of Birth

Phone Number

If you have insurance, please type the kind below

Do you have a provider preference?

How soon do you need to be seen?

What is the best way to contact you?

What are the concerns you are hoping to address?*

Self-pay prices are as follows:

Virtual Consults: $150 for initial, $125 for follow-up

Office Visit: $200 for initial visits, $175 for follow-up

Packages are available for those who are interested in booking multiple sessions. Superbills are provided upon request, and my services are eligible with HSA/FSA cards.

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