Reason for Booking a Visit* Select Your ServiceVirtual Prenatal Preparing For Breastfeeding ConsultationVirtual Postnatal Breastfeeding Consult and SupportIn-Person Home VisitsIn-home Follow-up Lactation ConsultUltimate Confidence Support PackageMore Comfort Support PackageValue PackageReturn to Work Package (Virtual)Antenatal/Postnatal PackageVirtual breast pump Flange Fitting RoomGentle Weaning Plan PRENATAL (Lactation Education)* Please Enter Estimated Delivery Date (EDD)* Maternal issues directly related to infant feeding and nutrition: Pregnant and planning to breastfeed, exclusively pump or combo feedHave difficulty latching your baby at the breastExperience Painful latching sore nipples, while breastfeeding and need to getting a pain free latch!Have been told that your baby isn’t gaining weight as expectedThink your milk supply is low and are not sure if your baby's full after feedingsHave oversupply, fast let down ((Dsyphoric Milk Ejection Reflex), and how to boost supplySee that you're baby is fussy at the breast, pulling off, biting, arching or refusing to latch (nursing strikes)Feel overwhelmed by breastfeeding or anxious about feeding your babyNotice unusual lumps or redness in your breast, engorged breasts& blocked ducts, blebs (nipple blister /white spot), mastitis.Suspect your baby has oral tethered tissues (Tongue tie/Lip tie)Find it very hard to breastfeed your baby after introducing bottlesHave feeding issues due to congenital or neurological issues (parent or baby), Some condition included alltypes of cleft lip and cleft palates, Dawn syndrome, and more.Plan to use a breast pump and need support with finding the right pump, flange sizing, and effective planaccording to your individual situationConcerned with feeding compatibility with medicationsFeeding a baby coming home from NICU due to prematurity or other medical reasonsTeething & BitingPartial or full weaning (by choice or due to medical reasons) Other: Additional History: Infant* (required):*multiple? Please complete a form for each baby Infant Date of Birth (EDD if prenatal): Sex: Lactating Parent (required) Name: DOB: Address & Your location or major intersection: Email Used for Booking Notifications: Mobile phone ONLY: Booking Date: Preferred Timing: Currently available (Sun to Thurs 5pm - 9pm) (Fri - Sat 8am to 9pm) Δ