Urgent Lactation Visit Request

First Name

Last Name

Phone *

Email *

Address

Street Address

City

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Please give a brief description of your circumstances.

Please read and acknowledge the following:

I checked regular scheduling availability, and there is not availability within my desired timeframe: msplactation.com/schedule

I acknowledge that Meredith will only contact me in the event that she has availability to see me in the next 24-48 hours. If she does have availability, I will be notified via text. I understand that it is my responsibility to continue seeking urgent lactation support

I understand that it is my responsibility to continue seeking urgent lactation support in case Meredith does not receive my request or have availability within the timeline I require.

I will contact medical support or bring my baby to the emergency room if they meet any of the indicated criteria: https://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/healthy-baby/art-20047793

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MSP Lactation LLC actively supports the World Health Organization (WHO) International Code of Marketing of Breast-milk Substitutes and subsequent World Health Assembly (WHA) resolutions. Therefore, MSP Lactation LLC is not a company, inclusive of manufacturers, distributors, or marketers, whose products fall within the scope of the World Health Organization (WHO) International Code of Marketing of Breast-milk Substitutes (1981) and subsequent World Health Assembly (WHA) resolutions (e.g., infant formula, bottles, and teats)