Referral Forms - Lactation Consults

Norfolk Breastfeeding Clinic - Amanda Antal

*Norfolk Breastfeeding Clinic works in co-operation with Quick Care Pediatrics, faxes sent to the number on the forms take up to 48 hours to receive.

In order to ensure prompt processing, please submit form online or print and fax forms to Ontario Breastfeeding Clinic at 1-833-615-1113.

Norfolk Referral Form

Elmira Breastfeeding Clinic - Bethany Heintz

*Elmira Breastfeeding Clinic works in co-operation with Quick Care Pediatrics, faxes sent to the number on the forms take up to 48 hours to receive.

In order to ensure prompt processing, please submit form online or print and fax forms to Ontario Breastfeeding Clinic at 1-833-615-1113.

Elmira Referral Form

Scarborough Breastfeeding Clinic - Fara Patterson

*Scarborough Breastfeeding Clinic works in co-operation with Quick Care Pediatrics, faxes sent to the number on the forms take up to 48 hours to receive.

In order to ensure prompt processing, please submit form online or print and fax forms to Ontario Breastfeeding Clinic at 1-833-615-1113.

Scarborough Referral Form

Halton Breastfeeding Clinic - Ashley Pickett

*Halton Breastfeeding Clinic works in co-operation with Quick Care Pediatrics, faxes sent to the number on the forms take up to 48 hours to receive.

In order to ensure prompt processing, please submit form online or print and fax forms to Ontario Breastfeeding Clinic at 1-833-615-1113.

Halton Referral Form

Durham Breastfeeding Clinic - Jandy Beresford

*Durham Breastfeeding Clinic works in co-operation with Quick Care Pediatrics, faxes sent to the number on the forms take up to 48 hours to receive.

In order to ensure prompt processing, please submit form online or print and fax forms to Ontario Breastfeeding Clinic at 1-833-615-1113.

Durham Referral Form