Home
Forms Library
Lactation consultant documentation forms

Lactation consultant assessment form 2026

lactation consultant documentation forms Preview on Page 1

See details

4.2 out of 5

26 votes

The document is a Breastfeeding Assessment and Counseling Form designed for counselors to collect detailed information about mothers and infants during breastfeeding consultations. It includes sections for counselor and mother information, infant details, breastfeeding practices, challenges faced, and support systems. The form also addresses maternal health, infant feeding behavior, and provides space for notes on education provided during the consultation and referrals for further support.

Here's how it works

01. Edit your lactation consultant documentation forms online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send lactation consultant breastfeeding assessment form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out lactation consultant assessment form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the lactation consultant assessment form in the editor.
Begin by filling out the Counselor Information section. Enter your name, clinic site, date of consultation, and select the type of consultation (In Person or By Telephone). Choose the preferred language for communication.
Next, move to the Mother Information section. Input the mother's name, date of delivery, method of delivery (Vaginal or C-section), and any relevant medical history such as previous surgeries or medications.
Proceed to Infant Information. Fill in details about the infant including name, sex, gestational age, feeding frequency, and any health issues. This section is crucial for understanding breastfeeding dynamics.
Complete the Feeding Behavior section by assessing latch and positioning. Use visual cues to describe how well the infant feeds.
Finally, review all sections for accuracy before saving or sharing your completed form directly from our platform.

Start using our platform today to streamline your lactation consultant assessments for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the Saib breastfeeding assessment tool?

The Systemic Assessment of the Infant at (SAIB) measures the infants contribution of breastfeeding through factors such as audible swallowing and infant body alignment. This tool is used to teach women how to breastfeed.

Can lactation consultants diagnose?

These individuals have more limited training in lactation and breastfeeding than lactation consultants, and they focus mostly on education and support, rather than diagnosis and treatment of complex breastfeeding and lactation issues. A lactation consultant can assess, diagnose and treat many breastfeeding issues.

How to get a breastfeeding assessment?

talk to your midwife, health visitor or GP. you can contact the National Breastfeeding Helpline on 0300 100 0212.

Does insurance cover a lactation consultant?

They commonly work in hospitals, physician or midwife practices, public health programs, and private practice. In the United States, lactation consultants are often nurses, midwives, nurse practitioners, and dieticians who have obtained additional certification.

How hard is the lactation consultant exam?

There are parts of the exam that are considered difficult, but the exam as a whole is often rated at a medium difficulty.

breastfeeding assessment form

Lactation consultant assessment form pdf Free lactation consultant assessment form Lactation consultant assessment form online Lactation consultant Documentation forms Lactation Consultant charting Template SOAP note for lactation consultant Lactation charting

Can an IBCLC diagnose?

A health-care provider (a dentist, doctor, neonatal nurse practitioner, midwife, oral surgeon) who is trained in providing frenulotomies or tongue-tie revisions can perform such procedures. The IBCLC practicing solely on the stand-alone certification cannot diagnose, and cannot perform corrective procedures.

Is a lactation consultant a doctor?

Did you know that a Lactation Consultant cannot diagnose oral restriction? This needs to be done by a Doctor. Most commonly a Pediatric Dentist or ENT.