$119.00 USD

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These forms are the intellectual property of The Lactation OT LLC. Users of these forms do not reserve the right to share, sell, distribute, republish, transmit in any form, or profit from these forms.

The Lactation OT LLC will not be held liable for the use or misuse of any information contained within the forms or content included in videos. The forms represent the opinions of the authors and the authors reserve the right to add, change, update the forms. Though every effort has been made to ensure information is up to date, it is the responsibility of the customer to ensure that the information is suitable for their intended use.

No parts of these forms should be construed as medical, legal, or financial advice. If you have specific questions, you should speak with a legal or financial professional. We will not be responsible for business decisions made based on the information provided in forms and videos. 

It is the responsibility of the customer to ensure that they are acting within their respective scope of practice outlined by professional organizations in their respective specialized field (AOTA, ASHA, APTA).

Due to the digital nature of this product, there are no refunds available once purchased.

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Premium Forms

What's included:

Consent for Treatment

Singleton Intake Form

Twin Intake Form

Baby Only Intake Form

Pumping Only Intake Form

Singleton Initial Evaluation Form

Twin Initial Evaluation Form

Baby Only Initial Evaluation Form

Pumping Only Initial Evaluation Form

Media Release Consent

Consent for Telehealth

Consent for COVID-19 Policy

Follow-up treatment note

Care Plan

Pediatrician Report

Release Provider Report

Discharge Summary

Pump Rental Agreement

 IN-DEPTH video walkthrough

Bonus Video: Private Practice Workflow