Jan, I see your point, however, just to play devil's advocate, you could interpret this to mean: the LC must obtain consent *in case a clinical concern or pertinent info is manifested and needs reporting to the primary provider.* Sometimes we do a consult that is just a simple latch fine tuning and no big problems are manifested, and do we really have to send a report in that case? I'm not sure. In practice, I send reports when there are problems identified and I'm recommending supplementation, wt checks, tongue tie clipping, etc. but I generally do not send reports when it is a *simple* quick fix. Really, I love to write reports and have to make myself keep them short and to the point, but I don't have time to write on every single person I see. Sad but true. <<23. Require and obtain consent to share clinical concerns and information with the physician or other primary health care provider before initiating a consultation. It seems to me that is pretty straightforward that the IBCLC is obligated to share information with the primary health care provider -- either the OB or the peds or the midwife....>> Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ Use custom emotions -- try MSN Messenger 6.0! http://www.msnmessenger-download.com/tracking/reach_emoticon *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html