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Breastfeeding Class Registration
Let's set you up for a great breastfeeding journey! Your class includes:
Virtual or In Person Learning with International Board Certified Lactation Consultant and L&D/Mother/Baby RN
Personalized face to face interaction (approximately 2.5 hours of learning)
Communication with IBCLC in time leading up to birth to ask questions and gain better understanding
$180 due after our time together- superbill (for insurance reimbursement) available if requested
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* Indicates required question
Mother's name
*
Your answer
Mother's Date of Birth
*
MM
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DD
/
YYYY
I choose to learn
*
In person at my home
virtually on HIPAA compliant video platform
Required
If choosing In Person learning, my address is:
Your answer
best email address
*
Your answer
Phone number
Your answer
Support person's name
Your answer
My support person is my...
Your answer
My due date is
MM
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DD
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YYYY
Breastfeeding experience?
yes
No
Other:
Clear selection
These are the breastfeeding topics most important to me...
Understanding how you see your breastfeeding journey, do your best to rate these specific topics we will talk about so I can really sink into the ones that are most important to you.
Understanding my body during breastfeeding
not my highest priority
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5
I want to be an expert!
Clear selection
Understanding my baby's needs during breastfeeding
not my highest priority
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4
5
I want to be an expert!
Clear selection
Pumping
not my highest priority
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4
5
I want to be an expert!
Clear selection
Learning how my partner can help
not my highest priority
1
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3
4
5
I want to be an expert!
Clear selection
Knowing when to ask for help
not my highest priority
1
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3
4
5
I want to be an expert!
Clear selection
Bottle feeding breastmilk
not my highest priority
1
2
3
4
5
I want to be an expert!
Clear selection
Breastmilk vs Formula and why
not my highest priority
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2
3
4
5
I want to be an expert!
Clear selection
How to breastfeed in public
not my highest priority
1
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3
4
5
I want to be an expert!
Clear selection
Breastfeeding tools (Like pumps, creams, bottles etc.)
not my highest priority
1
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5
I want to be an expert!
Clear selection
Anything else you want to share about your breastfeeding plans before we meet?
Your answer
Please use the link below to self schedule yourself a time for me to come out. Email me if you have any scheduling difficulties or questions! I look forward to meeting you!
https://koalendar.com/e/lactation-consulting-with-oh-eve-motherhood
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