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Breastfeeding Support Request
Congratulations on your new addition and for breastfeeding.
We understand that breastfeeding can be difficult at times, so please complete the form below to help our Breastfeeding Supporters arrange the right support for you.
Please ensure your contact details are correct so we can get back in touch with you (Our team will be in touch Sunday-Friday before 6pm).
The Breastfeeding With
HappyMOMents
Team
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Your email
BreastFeeding With HappyMOMents
Your Name:
Your answer
Your Contact Number (for us to call you back)
Your answer
Your baby's name
Your answer
Your Baby's Date Of Birth
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How old is your baby in Weeks?
Your answer
What was your baby's birth weight?
Your answer
Do you have any concerns about your baby's weight?
Your answer
How are you feeding your baby?
Exclusively Breastfeeding
Combination feeding with breastmilk in a bottle using a breastpump
Combination feeding with formula
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What issues are you having with feeding your baby?
Your answer
How would you like to be contacted for a consultation with our breastfeeding team?
Telephone call
Appointment in person in Dewsbury
Appointment in person in Batley
Zoom video call
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Thanks for completing this form.
One of the HappyMOMents Breastfeeding Supporters will be in touch asap.
For more urgent enquiries,
please send a message to 07796670624
after completing this form to request a more urgent call-back.
The Breastfeeding With HappyMOMents Team
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