Support Group Terms
I understand that this support group is meant to provide me with information and education. Participation in this group does not create a clinical relationship between me and Nurture Love Grow or Libbie Stroud, LPN, IBCLC.
I understand that I am responsible to consult with my primary care provider and/or my baby’s primary care provider before taking action on anything that happens here today.
I recognize that Libbie Stroud, LPN, IBCLC is not a doctor and cannot provide medical advice or supervision.
I recognized that if I have an established clinical relationship with Libbie Stroud, LPN, IBCLC as my lactation consultant, it is up to me what I wish to share in the group setting about our prior clinical relationship. If I do reveal a clinical relationship, I understand that Libbie Stroud, LPN, IBCLC will not make reference to our private clinical conversations in the group context, and will not provide me with specific or personal clinical recommendations or a plan of care.
I give permission to Libbie Stroud, LPN, IBCLC to examine me, my breasts, and my baby visually and manually. I may withdraw this consent at any time.
I give permission to Libbie Stroud, LPN, IBCLC to photograph or record video of me and/or my baby during the support group. These photographs and videos may be used for marketing purposes on Nurture Love Grow’s website and social media channels.