Lactation Consultant Client Intake Form

Our Lactation Consultant Client Intake Form is a professional, editable document designed to help International Board Certified Lactation Consultants (IBCLCs) and breastfeeding support professionals gather essential client and infant information before consultations begin.

This comprehensive intake form covers feeding history, birth details, current concerns, medical background, and client goals to support personalized lactation care. Whether you're providing in-home support, virtual consultations, or clinical visits, this form helps streamline assessments, chart progress, and build client trust.

Perfect for solo practitioners, private practices, and hospital-based consultants, this tool ensures thorough, efficient, and compassionate care planning from the very first session.

Key Features

• Customizable & Editable: Add your business name, logo, contact info, and tailor form sections to your practice style.

• Comprehensive & Insightful: Collects detailed client and baby health history, feeding goals, and lactation concerns.

• Improves Client Outcomes: Enables thorough assessments and care plans tailored to each family's feeding journey.

• Digital or Print-Friendly: Use electronically for telehealth visits or print for in-person sessions.

How It Works

1. Download the Form: Instantly access your editable document after purchase.

2. Customize It: Open in Word, Google Docs, or PDF editor to adjust for your needs.

3. Use with Clients: Share via email or fill out during appointments to gather clear, relevant information.

Please Note

• Personal Use Only: This product is for use by the purchasing consultant or practice only.

• Digital Product: No physical item will be shipped.

• Final Sale: Digital downloads are non-refundable.

This Lactation Consultant Intake Form is an essential tool to ensure consistent, client-centered, and effective lactation support throughout each family's feeding journey.