Registration Forms Mini Consult

Mini Consult Options:

Mini Email Consult is $30 for 3 questions through email.

Mini Phone Consult is $30 for the first 15 minutes and $1/min thereafter.

**The mini consult does not come with unlimited email support.**

Questions can be regarding breastfeeding, bottle feeding, naps, sleep troubleshooting, dropping the swaddle, starting solids, going back to work, transitioning to daycare or a new schedule, anything you need guidance on with your little one.

After the mini consult, if you wish to move forward with a full consult that comes with unlimited email support, your deposit can be put toward the cost of a full consult.

Please click SUBMIT for Part One before moving onto Part Two. They are two separate forms.

Part One is the Registration Form. Part Two is the Liability Release Statement and Communication Guidelines. After I have received these forms and payment, I will email you with answers to your three questions or set up a phone call.

Payment is made through PayPal or Venmo:

PayPal is emily@infantbasicsandtoddlertraining.com

Venmo is @Emily-Blewett

First and Last Name(required)

Email(required)

Phone Number(required)

Full Address(required)

Child's Name

Child's DOB(required)

Child's Current Weight(required)

Pediatrician(required)

Special Concerns when it comes to weight, premature, growth, health, medical issues, etc.(required)

Question #1(required)

Question #2

Question #3

Is there anything else I should know about you or your baby that would assist me in giving the best possible advice? This may include more info about feeding style/issues, work schedules, health history/concerns, premature delivery, or family dynamics, etc.

If using white noise, what brand?(required)

If using swaddle or sleep sack, what brand?Text(required)

Feeding style (breastfeeding, bottle feeding or combination). If using bottle and/or formula, what brand?(required)

Type of Mini Consult (email or phone):(required) Email

Phone

Where did you send payment through, PayPal or Venmo? If email, payment is $30. If phone, deposit is made of $30, which incldues the first 15 minutes of our conversation. It is a $1/min thereafter and payment is sent within 24 hours after the mini phone consult.(required)

How did you hear about Infant Basics and Toddler Training?(required)

*Please click SUBMIT before moving onto Part Two*

Part Two: Please sign the Liability Release Statement and Checkbox that you have read, understood and agree to the Communication Guidelines then click SUBMIT.

Liability Release Statement

Anytime that you are concerned about your baby or notice symptoms, call your pediatrician’s office. This consult and book/dvd are designed to provide information on the care of babies. It is intended as reference material only, not as a medical manual. This consult is done with the knowledge that Infant Basics and Toddler Training, LLC or Moms On Call, LLC specifically disclaim all responsibility for any liability, loss, or risk-personal or otherwise-to any parent, person, or entity with respect to any illness, disability, injury, loss, or damage to be caused, or alleged to be caused, directly or indirectly, by the use or application of any of the contents of this consultation.

This consultation does not take the place of your pediatrician’s visits or recommendations. This consultation is used as a supplement to your pediatrician’s recommendations. Use the information obtained as a guide for your own parenting choices.

Infant Basics and Toddler Training Communication Guidelines

If you are ever concerned that your child may be experiencing a medical emergency, please call your pediatrician or 911 right away.

Individual results may vary based on methods and consistency implemented by caregivers.

All fees will be clear and agreed upon prior to any service being rendered.

1. Please state the name, age, and current weight of your child at the beginning of each e-mail.

2. State your questions in bullet point format, as this will help ensure I answer your exact questions

3. Be as specific as possible with your current routine and schedule.

4. I typically respond in less than 24hrs, and guarantee a response in less than 48 hrs.

5. If you encounter a problem that you feel requires a response in less than 24hrs, this is typically a good indication that your pediatrician should be notified.

6. While I do work on the weekends, routine inquiries received on Saturday-Sunday, that do not require immediate attention, will be responded to on Monday.

7. If I am going to experience a temporary change in my schedule (such as vacation, family illness), which could affect my ability to respond to my current clients in my typical fashion, I will let you know.

As always, I consider it such an honor to be asked to serve and support your family in this way!