Lactation Consultant Postpartum Follow-Up Visit Intake Form
Lactation Consultant Postpartum Follow-Up Visit Intake Form
Track breastfeeding progress, feeding patterns, and concerns since the initial consult so the lactation consultant can adjust the care plan.
Parent name *
Your answer
Baby name *
Your answer
Baby date of birth
Date of last visit
Current weight of baby (oz)
Feedings per 24 hours
Average feeding duration (minutes)
Wet diapers per 24 hours
+ 6 more questions
About this template
Track breastfeeding progress, feeding patterns, and concerns since the initial consult so the lactation consultant can adjust the care plan.
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