Thank you for registering for our Consulting service! 

Please complete the following form so we can connect you with the appropriate consulting specialist.  Your sign-up process is not complete until we receive this information.

We look forward to helping you with your practice needs!

Warmly,

Melissa and Renee

Name:*
Credentials:*
E-mail:
Phone:*
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Type of consulting needed:*
Please briefly describe the nature of your request for consulting so that we can assign your request to the appropriate team member.

Payment

Thank you for your interest in consulting with Lactation Practice!

After completing this form and clicking "Submit", you will be directed to PayPal to complete your payment.  Once we receive your form and completed payment, we'll review your request and assign the appropriate team member to serve you.  Watch your email for communication from us.  Make sure to check your "Junk" folder and if you don't hear from us within two business days, please feel free to follow-up with an email to [email protected].

Thank you!  We look forward to working with you.

Warmly,
Renee and Melissa

Consulting fee:*