Considering a consult?
Contact me early! I often book fast. I try my best to see you within 24 hours, but sometimes I am booked a few days out and/or traveling. By contacting me as soon as possible, I have more flexibility to fit you in during busy times.
Most appointments start between 9am and noon business days. Evenings, weekends and holidays are reserved for emergencies and extra fees may apply - but it also depends on a variety of scheduling factors. In July and August, most appointments are during evenings and weekends (no extra fees apply).
Winter Travel Policy: From November thru March there will be very limited in-home evening appointments and will be determined by the weather forecast and other scheduling factors. If the roads are bad or if there is a delay or snow day for Baldwinsville schools, your appointment may be rescheduled.
Complicated situations will likely require multiple visits or an add on package, but it is always your choice to schedule additional support. Often insurance covers multiple visits.
Full payment is due at the time of service, no matter the type of insurance reimbursement you may receive. Cash or personal check preferred and major credit cards (including HSA/FSA account cards) accepted.
As of summer 2018, my billing agency will file your insurance claim at no extra charge. It takes weeks to months to process a claim, and though there is no guarantee, I am anticipating that having my billing agency submit the claim will result in better reimbursement. If your reimbursement is not what you are expecting, please contact me and I will have my billing agency investigate.
If you choose to not use my billing agency, I will give you the form necessary (superbill) to submit to your insurance provider for reimbursement of the cost of the consult; reimbursement is not guaranteed though lactation is supposed to be covered as stated in the Affordable Care Act (ACA). More information can be found here:
Preparing for your visit:
Call your insurance if you plan on submitting for reimbursement, if you can (this is not required, but is recommended when possible). I have seen more success with reimbursement if you call and start the process before I arrive. See my 'Payment' section on my Breastfeeding Support page for tips.
During our work with position and latch, it is very helpful to have full access to your front with no clothes in way (i.e. no shirt to hold up or that only exposes a small portion of your breast).
I will send you my history/intake form when we schedule the consult. This must be filled in at least 1 hour prior to my arrival.
If you want to discuss topics not related to your current issue (i.e. building a freezer stash, going back to work, future traveling, etc.) we can do a add-on phone consult in the future.
At the end of the consult, I will have answered your questions to the best of my ability and I will leave you a care plan with recommendations that work for your goals. In most cases, I will also send a report to any providers working with your baby within a few days.
Though I cannot guarantee a that you will reach all of your breastfeeding goals, I always do my best to support you during the time we work together and provide you extensive knowledge and resources to reach your goals.
For Home Visits:
Though I love pets, I ask that they are secured in another room unless they typically settle quickly. This gives us the ability to focus on breastfeeding without distractions. If you anticipate your pet to settle quickly but they become unexpectedly aggressive (as some pets do while being protective of a new baby), please immediately keep them in another area of your home.
If it works out, ideally your baby will be ready to eat around 30 mins after start time. No need to hold off a very hungry baby until I arrive, though if it is just before my arrival time, a small feeding is preferred. I can work around any situation, so no need to stress about feeding times.
I weigh the baby shortly after I arrive. If possible, have your baby in a diaper only (skin to skin often keeps them happy!) so we can get the weight quickly.
Please have any pillows, bottles, pacifiers, shields, pumps or other tools ready.
It works well to have a helper present (both for extra ears and helping with baby/older children) when possible, but it is not essential except for multiples. If your older child typically needs a lot of attention, please plan for extra help so we can focus on the breastfeeding needs of your baby. If you need to schedule our consult when you have help available, please let me know.
Please have TV, music and baby toys turned off so that we can concentrate on breastfeeding.
My home consults are around 2-3 hours and we cover a lot of things together. Please be focused and ready to work, with water and a snacks nearby. Eating and drinking before I arrive and during our consult helps keep your energy up.
For Office Visits:
Bring any breastfeeding tools you use or want to learn how to use, including things like shields, breastfeeding pillows (I do have many bed and couch pillows, no need to bring pillows unless they are breastfeeding specific), pacifiers, bottles, and your pump (if desired/needed).
When it works out, ideally your baby will be ready to eat around 30 mins after start time. No need to hold off a very hungry baby until I arrive, though if it is just before my arrival time, a small feeding is preferred. I can work around any situation, so no need to stress about feeding times.
Plan to arrive about 10 minutes early. Sit in the lobby if my office door (room directly across from the bathroom) is closed.
My office consults are around 1.5-2 hours and we cover a lot of things together. Please be focused and ready to work; eat before you come and bring water and a snacks to keep your energy up.
After your visit:
Your initial consult package includes 2 weeks of follow up support related to the written care plan you will receive after the visit.
You are welcome and encouraged to reach out to me at any point during those two weeks.
Email: I will make every effort to respond as quickly as possible, most often within 24 hours or sooner depending on the urgency.
Phone: By appointment from 9am-3pm during business days, and occasional evenings/weekends depending on my schedule.
Text: You may text to schedule a phone call or follow up appointment. I will only respond to texts from clients between 7am-9pm, and texting is not HIPAA compliant.
I will reach out to you by email or phone 2 times within the 2 weeks following our visit.
Even if you do not respond, after 2 weeks you will be released as my client.
For continued support, you can purchase an add-on package that you may use at any time. Add-on packages start at $60 for 2 phone calls, or $25 a week for unlimited email support (subscription renewal option available).
Each follow up appointment includes the same level of follow up support (i.e. a follow up visit comes with 2 more weeks of phone/email support).
For mother to mother breastfeeding support, La Leche League is wonderful! Call or attend meetings anytime to get answers to your general breastfeeding questions. www.lllsyracuse.org