Birthing, Bonding & Breastfeeding
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lactating breast
If you are seeking an in-person or virtual consultation, please make an appointment prior to completing the intake form and making payment. 
Appointments can be made via email to Christy Jo Hendricks
Lactation Consultants help with a wide range of lactation issues including:
  • Adoptive breastfeeding/chestfeeding
  • Re-lactation and induced lactation
  • Exclusive pumping
  • Painful latch
  • Slow weight gain
  • ​Anatomical issues
  • ​Optimal positions
  • Low milk supply
  • Premature infants
  • Feeding multiples
  • Using devices/aides
  • Weaning
  • Bottle refusal​
  • and much, much more

    To be completed by lactating parent requesting the consultation
    For documentation purposes, please download and complete the paper version of the Client Consent Form and return it prior to the Consultation

    Completing the form and accepting the terms, grants consent for a lactation consultation provided by Christy Jo Hendricks, IBCLC, RLC, CLE, CCCE, CD
    ​(A more thorough history and assessment will be completed at the time of the consultation).
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    • I understand that all medical care is to be provided by my own physicians and that any change from a physician’s recommendations should be discussed with the physician.
    • I grant permission for information about this consultation to be sent to my attending physician/health care providers if necessary.
    • I grant permission for information from this consultation to be used to further the knowledge of breastfeeding, with the understanding that no names or identifying features will be used.
    • I understand that a lactation consultation by the International Board Certified Lactation Consultant (IBCLC) may include a visual and physical assessment of the mother’s breasts, the baby’s mouth and suck, observation of the mother and baby breastfeeding, analysis of information relating to the breastfeeding situation, demonstration of techniques for improving breastfeeding, use of breastfeeding equipment, and recommendation of a treatment plan to resolve breastfeeding issues, which may be adjusted during the course of treatment.
     
    I hereby give consent for treatment according to the scope of practice outlined above.

    • I understand that I am responsible for informing the lactation consultant of any relevant information or changes that affect my breastfeeding situation.
    • I understand that it is my responsibility to call the lactation consultant with progress reports, questions, or concerns.
    • I understand that payment for lactation consultation services and any necessary breastfeeding equipment are my sole responsibility and expected at the time of service. 
    • I understand that there are no refunds for the consultation services.
Submit
After you submit the questionnaire, please return to this page to process payment. 

Virtual Lactation Consultation

$125.00

Individuals needing lactation observation, education, support and assessment over the phone, video chat or ZOOM can receive the support of an International, Board-Certified Lactation Consultant (IBCLC)

Purchase Consultation

In Person Lactation Consultation

$225.00

This service is for individuals seeking an in-person consultation by an International, Board-Certified Lactation Consultant (IBCLC). Consultations require 1-2 hours. For travel more than 30 miles from 92220, clients will be responsible for an additional $30 travel fee.

Purchase Consultation

Hours

W-F 9 am-5 pm

Telephone

951.809.7827

Email

lactationeducation@outlook.com
ADDRESS
PO Box 1431 Banning, CA 92220
Birthing, Bonding & Breastfeeding website is for information only and does not constitute medical advice or recommendation. 
For medical advice, please consult a physician. You must not rely on the information on this website as an alternative to medical advice from your doctor or other professional healthcare provider.If you have any specific questions about any medical matter you should consult your doctor or other professional healthcare provider.If you think you may be suffering from any medical condition you should seek immediate medical attention.You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website.

Photographs supplied by Erin Espinoza, Jen Beeson and other individuals all rights reserved.
2018 Birthing, Bonding & Breastfeeding
  • Home
  • About
  • Trainings
    • Certified Lactation Educator™ >
      • Pay Balance
    • Certified Childbirth Educator
    • Lactation Refresher Courses
  • Services
    • Lactation Consultation
  • Resources
  • Store