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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

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MILK & HONEY AGREEMENT TO PAY FOR SERVICES

MILK & HONEY PERMISSION FOR ELECTRONIC COMMUNICATION

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MILK & HONEY REQUEST FOR MEDICAL INFORMATION

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MILK & HONEY PHOTO RELEASE

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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.