New Patient Registration

Please use the link below to fill out pertinent registration information 24-48 hours before your scheduled appointment with the IBCLC.

 
  • Registration Forms (patient information, infant information, health history & consent)

  • A superbill will be filled out at the end of the consultation and will be sent to you electronically.

  • Payment will be accepted at time of booking or at the completion of our consultation. We do not work directly with insurance at this time.