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Click ‘Get Form’ to open the lactation consultant documentation form in the editor.
Begin by filling in the mother's details, including last name, first name, middle initial, age, and email address. Ensure all information is accurate for effective communication.
Next, provide the infant's information such as name, gestational age, and present age. This section is crucial for understanding the baby's needs.
In the 'Reasons for Consultation' section, check all applicable boxes regarding concerns like sore nipples or latch issues. This helps tailor the consultation to specific needs.
Complete the consent section by signing and dating where indicated. This authorizes consultation services and ensures compliance with privacy regulations.
If renting equipment, fill out the rental agreement details accurately. Include payment information and select your preferred billing option.

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Versions	Form popularity	Fillable & printable
2022	4.6 Satisfied (47 Votes)
2022	4.3 Satisfied (56 Votes)
2021	4.8 Satisfied (26 Votes)
2018	4.7 Satisfied (39 Votes)
2014	4.5 Satisfied (64 Votes)
2013	4 Satisfied (36 Votes)
2010	4.3 Satisfied (41 Votes)
2007	4 Satisfied (54 Votes)
2003	4.8 Satisfied (142 Votes)

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What is required to become a lactation consultant?

The IBCLC examination eligibility requirements are designed to ensure that all applicants have a health sciences background, a minimum of 90 hours lactation specific education (including, beginning in 2025, two (2) hours focused on the WHO Code) and 5 hours of communications skills education for a total of 95 hours of

What are the billing guidelines for lactation consultant services?

While many lactation consulting positions require an IBCLC designation, earning additional certifications may help you further advance your skills. A few different training programs can help you develop specialized skills in the field and advance your career.

Can anyone call themselves a lactation consultant?

Recognize that this is a tough exam We hear from smart people every year that failed. And we often hear statements like, That was the hardest exam I have every taken! and That was harder than my nursing boards! So be prepared.

Do you need a license to be a lactation consultant?

Do you need some help deciphering the difference between a Certified Lactation Counselor (CLC), Certified Lactation Educator (CLE), Certified Breastfeeding Specialist (CBS) and International Board Certified Lactation Consultant (IBCLC)?

Can I be a lactation consultant without being an RN?

Although the title of lactation consultant is reserved for IBCLCs, the title is not currently regulated. This means that anyone can call themselves a lactation consultant, even if they have limited clinical experience or are not board-certified.

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