Terms and Conditions

Acknowledgement and Receipt of Privacy Practices:  


Latched Eternal Lactation Consulting LLC,  is required by US federal law to maintain our patients’ privacy and provide them with access to the notice of our legal duties and privacy practices with respect to protected health information (PHI). Your electronic signature when scheduling an appointment hereby acknowledges that you have reviewed our HIPAA Notice of Privacy Practices document which is listed on our website and understand that you may obtain a copy for your records upon request.  
 

I (the client) understand that:


-All medical care is to be provided by my own physician(s) and that any change from him/her/their recommendations should be discussed with him/her/them.
-A lactation consultation by the IBCLC may include visual and manual assessment of the mother's breasts, the baby's mouth and suck, observation of the mother and baby breastfeeding, analysis of information relating to the breastfeeding situation, demonstration of techniques for improving breastfeeding, use of breastfeeding equipment, and recommendation of a care plan to resolve breastfeeding issues, which may be adjusted during the course of treatment.
-A student intern may accompany the IBCLC and participate in the consultation for training purposes. Client will be made aware of this prior to consultation. 
-I (the client) am responsible for informing the lactation consultant(s) of any relevant information or changes that affect my breastfeeding situation.
-Payment for lactation consultation services and any necessary breastfeeding equipment are my (the client"s) sole responsibility and required at the time of booking/service. A receipt and super bill (for insurance reimbursement) will be provided. 
-It is my (the client's) responsibility to call the lactation consultant(s) with progress reports, questions or concerns. 


CANCELLATION POLICY: If you need to cancel an appointment, please do so 24 hours in advance. If you do not cancel 24 hours before your scheduled appointment time you will NOT receive a refund on the service. That time was specially reserved for you and prevented other clients from scheduling at that time. If you cancel prior to 24 hours before your scheduled appointment, you will receive a full refund for the appointment.

I (the client) grant consent for:
-Information about this consultation to be mailed, faxed or e-mailed to my attending physician/health care providers, if I so indicated above.
-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 according to the scope of practice outlined above.

By checking the box when scheduling an appointment I (the client) acknowledge my understanding of the conditions set forth above. 

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© 2019 by Jennifer Abdul-Rahman BSN RN IBCLC. Proudly created with Wix.com