There are a number of ENT's and oral surgeons in our community who will do 
frenotomys. They are willing to do them for babies on MediCal with a referral 
from a Doctor/FNP. 
I work for Public Health in a Breastfeeding Support Center as a PHN, IBCLC. I 
would like to negotiate with the Public Health Medical Director to have me 
refer babies covered by standardized procedures which would spell out what 
was being referred ie visual exam done with the following findings....etc. That 
way we could avoid the Peds,MDs who are upset with us referring back to 
them as they don't believe a tight frenulum has anything to do with 
breastfeeding or any other issues for the child. And of course, the referral 
would be more timely.
I am wondering if anyone is using this method of referral, and if so, if you 
would share the standardized procedures you work under. I'd love to have the 
wheel already invented!
Thanks for any help or input you might have.
Judy Cassidy, PHN, IBCLC
Breastfeeding Support Center
Shasta Co. Public Health
Redding, CA

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