Prenatal Lactation Consultations

To Register for upcoming class dates, click the link below or call the Maternity Support Center 205-212-MOMS (6667).

https://uabstvincents.org/event/prenatal-lactation-consultation/

Please do not sign up for this consult until after 30 week gestation. You may now schedule to meet with a certified lactation consultant to address any concerns prior to initiating breastfeeding. It is STRONGLY recommended that you enroll in breastfeeding 1 class. The prenatal lactation consultation as this is not a substitution for a class.

This includes:

Previous problems with breastfeeding
History of breast surgery
Flat or inverted nipples
Specific questions to help you be successful on your breastfeeding journey

*If the date and time you wish to register for is full please try an alternate time as we may only accommodate 1 appointment per time slot.

Registration Options

In Person ($0.00)
Virtual or phone ($0.00)

Name

Phone Number

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Address

Current Medications

Preferred Language

I need the most help during this consult with

What is your Due Date?

Who is your OB?

Have you ever had any breast surgeries or biopsies?

Lactation Services Consent

CONSENT FOR TREATMENT
I hereby give consent for a Lactation Consultant to observe me
nursing my child, to examine and/or touch my breasts should this
become necessary during the course of breastfeeding assistance.
I understand that all medical care is to be provided by my
physician.
The Lactation Consultant has my permission to contact my
physician(s) with her findings and/or any pertinent information
regarding my child’s care or mine.

I, the undersigned, agree to the terms above.

HIPPA

I have read and agree to the terms above.

Total

$0.00

Coupon Code

Almost done, where should we send the confirmation?

Name

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