Lactation Consultant Charting Forms


Category: Practice Resource

Intended User: Lactation Consultant
Cost: $20.00 – $150.00
Member: Diana West
Phone: 908-400-1820

Product Description:

All the Charting Forms a Successful Lactation Practice Needs

Our comprehensive collection of clinical Charting Forms include 19 forms in PDF format, including multiple versions of the Consent, History, and Intake forms, useful anywhere in the world. To meet your practice needs, they’re each available individually or combined in a discounted package.

Instant Download!  

Our clinical forms are all instantly downloadable in PDF format so you can use them immediately.  No special software or programming is needed, just open it in the free Acrobat Reader and enter info in the highlighted fields (the highlight disappears when the file is saved).  Then save the PDF with a new filename and the info entered into the fields will be embedded into the form.  Very user-friendly.

Color Design

Version 5.0 premiers our color version (COMING SOON!!).  The colors can be customized to your branding colors for a nominal fee.  (If you purchase(d) an earlier version, I’ll be happy to upgrade your charting forms to the current version at no cost, just let me know.)

Two Format Options

Our superbills are available in two formats, Fillable and Printable (more info on our format options). The Fillable version features a functional, auto-calculating, fillable PDF for paperless offices or emailing to clients for filling out electronically. The Printable version is meant for old-school LCs who prefer to print forms and fill them out with a pen.  It reproduces sharply and cleanly and is perfect for three-part carbonless forms (white for insurance, yellow for client, pink for your client file).

Two Header Options

LactForms superbills are also offered with two options for the header at the top of each form showing your practice information. For the same price, you can choose between a fillable box to insert a stylized header image (which can be developed for you if needed) or fillable fields if you prefer to enter your practice information directly in plain text format (more info on our header options).

Our Charting Forms Collection

1-2) Intake
Home Visit
Office Visit
Telehealth coming soon

3-8) Consent

US, insurance section (singleton)
US, insurance section (multiples)
US, no insurance section (singleton)
US, no insurance section (multiples)
Non-US, no insurance section (singleton)
Non-US, no insurance section (multiples)

9-10) History (two pages each)

History (singleton)

History (multiples)

11) HIPAA Privacy Agreement

12) COVID Policy Agreement

13) Parent Assessment

14) Child Assessment

15) Feeding Assessment

16) Intervention Documentation

17) Consultation Notes

18) Care Plan

19) Referral Pad

How can this be accessed or purchased?

USLCA does not endorse the use or sale of this product. Post expires June 21st, 2023.


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