• Brown County Community Lactation Resource

  • If you provide lactation services and want to be included on the Milk Map, please fill out the below survey. Thank you for your time and commitment to families in Brown County!

     

    Note: if you are apart of more than one organization, please submit one form for each organization.

  • Is your organization located in Brown County, WI or do you provide services in Brown County, WI?

  • Thank you for your interest! Unfortunately, we are only taking submissions for lactation supports who are either in Brown County or who serve the Brown County area. 

  • What type of organization is this? Select all that apply.*
  • Format: (000) 000-0000.
  • What type of lactation credentials are held at this organization? Select all that apply.*
  • What type of lactation services are offered? Select all that apply*
  • Does anyone that provides lactation support in your organization speak a language other than English?*
  • Is there a cost for the services provided?*
  • Do you accept private insurance?*
  • Does you organization accept medical assistance?*
  • If no, is there any type of sliding scale fee for someone who may not be able to afford services?
  • Would you or someone in your organization be interested in supporting/mentoring new lactation supports?*
  • Should be Empty: