Consent For Care for Lactation Practice

Consent For Care for Lactation Practice


Need an attorney-reviewed consent form? How about payment policies? This document has both, and also a template for a customer satisfaction survey and language to release your clients when care has concluded.

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What you get:

  • Consent for care, which covers:

    • What typically happens during a lactation visit

    • Permission to send reports to relevant health care providers

    • Acknowledgement that text and email are not secure

    • Permission to share client's address and appointment time with your support person if you do home visits

    • Consent to have others present by express permission of the client, and explanation of how to allow the client to include other people in communications about their care plan

    • Acknowledgement of payment policies and permission to communicate with the client's insurance company (which includes giving a superbill)

    • Permission to take clinical photographs

  • Payment Policies

    • Language for self-pay

    • Language for insurance

    • Language for using SquareUp in a HIPAA-compliant way

  • Client Satisfaction Survey

  • Formal Client Discharge

  • Customizable template taken from the freely available Notice of Privacy Practices on the Health and Human Services Website.

Also bundled with the IBCLC Private Practice Essential Toolkit

Lactation Private Practice Essential Toolkit

Running a Paperless Private Practice as an IBCLC requires more than just your awesome clinical skills. You need to wrap your brain around the business, legal, and technical side of things. The reality is that so many lactation consultants hit the ground running in their private practices without having a stable infrastructure in place first. And it’s not long before you’re not enjoying private practice the way you thought you would. 

You’ve come this far to become an IBCLC—you just need the tools to build your dream private practice.

A Paperless Private Practice e-product.

Get the Toolkit