Tongue & Lip Tie Home Exercises

Hi Mama. These early days with a tongue/lip tie baby are hard. It's a lot of work for baby to re-learn new things and it may not always come easily. We have created a video to walk you through the homework that will help baby learn to use muscles to eat and latch better and help relieve tension and reflux. As an additional perk, we have created an online Facebook Forum support group as a place where you can ask questions and learn other helpful information! Once you have read the below, signed the agreement, provided your payment, you will be emailed a link to the video!

If you want to be added to the bonus support group, just provide your Facebook information below and stay tuned for a friend request from one of our providers.

(Please note, the fee provided is to view the video, not for the Facebook group, but only those with access to the video will be given access to the group.)

Registration Options

Tongue & Lip Tie Homework Video ($25.00)

Agreement*

CONSENT FOR BREASTFEEDING SUPPORT SERVICES

I understand that this support group is not a replacement for medical care or full lactation support and I attest that myself and my baby are healthy and under the care of a provider.

I authorize the breastfeeding consultant to release the information gained during the consultation to my primary care physician(s) and health care provider.

I indemnify the admins of this group from any legal obligation regarding their recommendations.

I understand that all medical care for my baby and me is to be provided by our physician(s) and health care providers.

All information shared in the group is property of the group and I will be subject to liability if I share another other member's information or information from the group without written and signed permission.

I accept payment responsibility for the services provided.

Electronic Signature (By typing my name, I agree to the above)

Name

Phone Number

Address

Facebook URL (for access to the online Support Group)

Tell Us Your Story

Baby's Date of Birth

Convenience Fee

$0.00

Running Total

$0.00

Total

$0.00

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

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