Theresa Wrublesky: Certified Breastfeeding Counselor
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Phone Consultation Consent Form
Phone Consultation Consent Form
Theresa Wrublesky RN, CBC, CPD, CIME
215-860-8461
www.buxmontbreastfeeding.com
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As a Breastfeeding Counselor I cannot give medical advice or treatment. It is up to my discretion whether your problem can be addressed by phone, or a home visit is in order. Phone consults are for information, not instruction. If the breastfeeding problem is beyond my area of expertise, referrals will be provided.
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Name
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First
Last
Email
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Phone number
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What is the nature of your problem? What is your baby's name & date of birth?
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Please include 3 days/times that you are available for consultation. Once we decide on a mutual day, you will call me at the pre-arranged time. Please give 24 hours notice if you need to cancel or change time of appointment.
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Submit
Phone Consultation - 1 hour
$
50.00