I Understand that:

• All medical care is to be provided by my GP and Midwife or Health Visitor and any change from their recommendations should be discussed with them
• A consultation with an IBCLC may include examination of the breasts, the baby's mouth, an observations of a breastfeed, demonstration of techniques and equipment to improve breastfeeding and a recommendation of a care plan to treat breastfeeding issues which may be adjusted over time.
• Students may occasionally accompant the IBCLC, you will be advised of this and have the right to decline
• I am responsible for informing the Lactation Consultant of any changes in the breastfeeding situation.
• Payment for Lactation Consultant services and equipment are my responsibility and invoices will be paid promptly, a receipt will be provided.

I grant consent that:

• Information about this consultation can be shared with my GP or other Health Care Professional
• Information, photographs, and/or video from this consultation to be used for teaching purposes, with the understanding that no names or identifying features will be used.
• Treatment will be given according to the scope outlines above.
• Jenny Baldwin IBCLC can hold and process my data. Data will be stored securely until the baby reaches the age of 25, it will then be safely destroyed.
• Jenny Baldwin IBCLC can contact me by phone or email for the purposes of following up on this consultation.