Lactation Counseling - Glorious Moments Birth Sevices

Book your Lactation Counseling with Brittney now.

Duration: 90 minutes
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client Thank you for taking the time to fill this out. I will be in touch with you soon to ask a few more in-depth questions to better understand your needs and concerns. I look forward to helping you on your breastfeeding journey!

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Baby’s Name: {"type":"text","name":"__generic2","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":""}

Age/Birth Date:{"type":"text","name":"__generic3","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":""}

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Babies Lowest Weight:{"type":"text","name":"__generic7","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":""}



Please choose any common concerns that apply:{"type":"radio","name":"__generic8","width":100,"value":"","size":"Normal","validation":"C1","validationMessage":"Please choose one of the above options.","options":"-Nipple pain/Cracking\n-Yeast/Thrush\n-Clogged ducts\n-Mastitis\n-Oversupply\n-Undersupply\n-Breast refusal\n-Discomfort/crying @breast\n-Expressing milk: hand/pump\n-Working & breastfeeding\n-Toddler nursing\n-Weaning\n-Other:"}

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