NYLCA Member Registration
If you have paid your membership dues and would like to be on the NYLCA text referral group, please send a text via WhatsApp to Rachel King +1 (646) 893-7615
Please join or renew your membership here:
Is this a new listing or an update to a current listing?
What is your full name with credentials as you'd like it to appear on the website?
What is your IBCLC certification # and date?
What is your complete mailing address?
What is your office address?
Do you see clients at this location?
What is your phone number?
What is your website?
Please write a short bio so everyone knows how wonderful you are. (If you're happy with your current bio as it appears on the site, just write "no change")
Do you bring a scale to consults?
Please email your photo to
otherwise we may use a picture of a potted plant to represent you. If you're happy with your current picture as it appears on the site, please write "I look good"
If you have a clinic, support group, or offer prenatal classes, please submit 1 entry per offering through this form:
Do you provide home visits?
Never submit passwords through Google Forms.
This form was created inside of New York Lactation Consultant Association.