I give consent for Carol to work with me (and my baby) during this consultation.  If I am attending for feeding issues I understand that this may include an assessment of breasts, baby's mouth and suck, baby's overall function, discussion and demonstration of techniques designed to improve breastfeeding.  

Medical care is provided by my Health Care Professionals and any changes to their recommendations should be discussed with them.  I consent to information from this consult being sent to my HCPs / referral practitioners if this is needed, and for information from the consult to be used for teaching with the understanding that all information will be anonymised.  

I understand that the notes from this consultation will be stored according to GDPR guidelines.

I understand that there is a 24 hour cancellation policy and that with more than 24 hours notice an appointment can be cancelled or rescheduled free of charge. Within 24 hours the appointment will be chargeable, except in exceptional circumstances.

I understand that payment is due within 24 hours of the consultation taking place.

I understand that there are no guaranteed outcomes from this consultation. I understand that difficulties can be multi-factorial and that difficulties may persist despite best efforts to resolve them. I understand that the fee is not refundable if difficulties persist.

This consent applies to this consultation and all follow up appointments.