MILK & HONEY IS CONTINUING TO HELP FAMILIES DURING THIS TIME THROUGH

TELEMEDICINE APPOINTMENTS & IN-PERSON VISITS.

IF YOU NEED HELP, PLEASE DON’T HESITATE TO REACH OUT AND CALL OUR OFFICE FOR MORE DETAILS.

CLICK HERE FOR OUR RESPONSE TO COVID-19 | UPDATED 03/19/2020

M+H_Logo_BK.png

SPECIALIZED BREASTFEEDING & POSTPARTUM CENTER

NEW CLIENT INTAKE FORMS

Feel free to fill out the forms prior to arriving for your first appointment.

MILK & HONEY INTAKE FORM

1

2

MILK & HONEY PERMISSION FOR ELECTRONIC COMMUNICATION

3

MILK & HONEY PHOTO RELEASE

4

MILK & HONEY REQUEST FOR MEDICAL INFORMATION

5

MILK & HONEY AGREEMENT TO PAY FOR SERVICES

6

INTAKE PACKET (ALL FORMS)

We strive to nurture and empower the whole family through our holistic approach to breastfeeding. We aim to provide both new and experienced parents with breastfeeding support and education throughout the postpartum period and beyond.