We see a high volume of families in both clinic and home visit settings. At this time, given the environment surrounding COVID-19 and the safety of our providers and the families we serve, you have the option of a home visit OR virtual tele-lactation. When submitting an appointment request, you will be asked to complete COVID-19 screening questions. If you have any symptoms or recent exposure to COVID-19, please select the tele-lactation option. Additionally, your lactation consultant will wear a mask to your home visit and we ask that your family wears masks, too. If you are unable to wear a mask, please select the tele-lactation option.
What to Expect
For information regarding what to expect at a home visit, please see this page.
With tele-lactation, Melissa is able to offer every service, assessment, and evaluation that she would perform during a home or clinic consult, except weighing babies. She can collect a full health history, assess feeding (latch) and maternal and infant factors that relate to feeding, and develop plans to help your breastfeeding challenges.
Upon completing the appointment request below, your request will be evaluated and confirmed by Melissa. When confirmed, the medical records system will send you an email invitation to join the PHR (patient health record) system where you will complete our intake/new patient questionnaire. For virtual consults, you will also receive an email with the URL to access your private tele-lactation “room”.
For home visits, you will be pay at the time of service; we do not bill insurance directly. We can accept cash, check, debit/credit cards, or HSA/FSA cards. For payments other than HSA/FSA cards, you will be provided a receipt that you can use to submit to your insurance for possible reimbursement.
For tele-health, you will receive an invoice via email from SquareUp. We do not bill insurance directly for lactation consults. Payment must be received prior to the start of your consult. After your consult, you will be able to log in to your PHR to access our notes from the consult, as well as a superbill/invoice that you can submit to your insurance for possible reimbursement. *We do not guarantee reimbursement.* If applicable, you may use an HSA/FSA debit card to pay your invoice. If you pay via HSA/FSA, you may not also submit your receipt to insurance for possible reimbursement.
Spokane River Midwives and Hazeltree Midwifery Clients
If you are a client with Spokane River Midwives or Hazeltree Midwifery, your birth package may include a visit with Melissa. Please select the “Midwife Package” option below. Your information will be verified with your midwives and you will not receive an invoice for this appointment (if your package includes lactation).