I have one that was used in my local LD unit as informed consent for "
Infant Feeding Preference", breastfeeding, breast/formula feeding and just
formula complete with health hazards and disadvatages. I am happy to fax you
a copy. It is a two sided card, but I can photo copy it on to one document. 



Mirine Dye

 

~~~~~~~~~~~~~~~~~~~~~~~~~~

Mirine R. Dye, CCE,CD,CLE

Community Doula, Childbirth and Lactation Educator

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Florida Keys and Key West



 

Mothers in Paradise - a La Leche League Professional Breastfeeding Resource
Center

www.keysmama.org

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