Schedule a Consultation or Class
with  Liz Pevytoe RN, IBCLC

Use this page to schedule a consultation or class with Liz Pevytoe RN, IBCLC.

I offer in home breastfeeding consultations, group and private prenatal classes in the Dallas Fort Worth metroplex.

My fees are as follows:

  • $125 for a consultation in your home **
  • $75 for a consultation in Liz's home office in Keller (76248) (NOT AVAILABLE AT THIS TIME DUE TO HOME REMODEL estimated 10/15/13 as restart date)
  • $25 for a phone consultation (up to 30 minutes) NEW CLIENTS
  • $60 for a skype video or phone consultation up to 1 hour.

Liz Pevytoe RN, IBCLC is our lead lactation consultant learn more about Liz here: ABOUT ME page.

Laura Kiehl RN, IBCLC is also available for consultations.  Here is more info about her:


"I am the mother of two breastfed baby girls, ages 3 and 15 months. With my first child I worked and used a breast pump for 12 months. With my second child I have stayed home until Sept 2013 , and
she has never had a bottle, mainly by her choice. She is 15 months and still nursing.
I have been a registered nurse since 2005, with all of my nursing experience being in the various areas of maternal child health (labor and delivery, postpartum, pedi-ICU). I have been a board
certified lactation consultant since 2009. I believe I have personal and professional experience that will be valuable to your nursing experience, and my passion is helping women reach or exceed their breastfeeding goals .

You can learn more about the lactation and prenatal services I offer by clicking here.

You can read customer testimonials by clicking here.

We do NOT file insurance at this time but do provide you with a superbill receipt to file for reimbursement from your insurance agency.

**$125 in home rate applies to homes within 15 miles of 76248 (Keller), beyond that area, there will be a fuel surcharge (will be quoted by IBCLC at time consult is arranged).We accept cash, checks, credit/debit cards and flex spending cards.

PLEASE READ POLICY/CONSENT in it's entirety at the bottom of this page before sending form.

Schedule a Consult or Class
Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name*
E-Mail Address*
Street Address*
City*
State/Prov*
Zip/Postal Code
Country
Home Phone*
Interested in:*
Phone/Email Consultation $25
In home consultation $125
Prenatal Classes $35-150
Skype Consult $60
Lunchtime Latch (Wednesdays) $35-60
Provider request
Liz Pevytoe RN, IBCLC
Laura Kiehl RN, IBCLC
First available
Baby's name*
Baby's date of birth
Baby's birth wt. and most recent wt. (with dates please)
Baby's Care Provider (Pediatrician/Chiro/other)*
Mom's care provider (OB/Midwife)*
Description of Need:*
Desired appointment date/time
Who can I thank for the referral?
Please acknowledge and agree to disclaimer below by electronic signature in the box (type your name)*

Please enter the word that you see below.

  


I understand that all medical care is to be provided by my own physicians and that any change from a physician’s recommendations should be discussed with the physician.

I grant permission for information about this consultation to be sent to my attending physician/health care providers.

I grant permission for information from this consultation to be used to further the knowledge of breastfeeding, with the understanding that no names or identifying features will be used.

I understand that a lactation consultation by the International Board Certified Lactation Consultant (IBCLC) may include a 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 treatment plan to resolve breastfeeding issues, which may be adjusted during the course of treatment.

I hereby give consent for treatment according to the scope of practice outlined above.

I understand that I am responsible for informing the lactation consultant of any relevant information or changes that affect my breastfeeding situation.

I understand that it is my responsibility to contact the lactation consultant with progress reports, questions, or concerns.

I understand that there is a fee of $5 per text and $25 per phone call/email consult. (follow ups within 7 days of consults are not subject to these fees)

I understand that payment for lactation consultation services and any necessary breastfeeding equipment are my sole responsibility and expected at the time of service. A receipt will be provided for insurance reimbursement.

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