Consent Forms

Version 3.3
FILLABLE VERSION NOT AVAILABLE UNTIL NEW VERSION (coming soon)!  Free upgrades to fillable format when the new version is released.

New version coming late 2025 with same updated design as the new Superbills Version — GET THE CURRENT VERSION NOW AT THE DISCOUNTED PRICE WITH FREE AUTOMATIC UPGRADE TO THE NEW VERSION WHEN RELEASED 

Comprehensive consent intake form required for professional lactation services with easy-to-follow sections for fast completion. Includes terms and conditions for the consultation covering standard consent points and optional permission for photos and videos.

SIX VERSIONS INCLUDED:

Singleton

1. US with insurance section
2. US without insurance section
3. Global without insurance section

Multiples

4. US with insurance section
5. US without insurance section
6. Global without insurance section

INSTANT FILE DOWNLOADS INCLUDE: 

1. Consent Form—US No Insurance, Version 3.3
2. Consent Form—US No Insurance (Multiples), Version 3.3
3. Consent Form—US Insurance, Version 3.3
4. Consent Form—US Insurance (Multiples), Version 3.3
5. Consent Form—Global, Version 3.3
6. Consent Form—Global (Multiples), Version 3.3
7. Quick Start Guide
8. Header Instructions
9. General Fillable Instructions (fillable only)
10. Printing Permission (printable only)