Forms & Billing


The following forms are for your information. Please review them before the appointment. The Consent for Care form will be signed during the appointment.

Payment Information

Payment is due at the time of service. We accept cash, check and credit card. Health savings and flexible spending accounts often cover lactation services. Check with your plan for limitations.

We believe every family should have access to breastfeeding support regardless of financial situation. Let us know if financial constraints limit your ability to pay the standard fee and we can discuss alternatives. We rely on the Honor System, meaning we assume clients select this option due to a real need. We provide services equally and fully to all clients.

Travel Fees

In-home lactation consultations assume travel within 30 minutes of Shoreline, WA. An in-home consultation to locations outside this area is available for a travel fee of $25 up to 30 minutes of additional roundtrip travel. You will be notified at the time of scheduling if a travel fee applies. If you live outside the travel area it may be possible to meet for an office visit in a clinic space in North King or South Snohomish County. The monthly cost of Breastfeeding Essentials package does not include a travel fee.

Insurance Claims Processing

At the end of your appointment you will be provided with a superbill that includes all the information your insurance company needs to process your claim. Submit this, along with your insurance company’s claim form. Any reimbursement due will be mailed directly to you.

Will My Health Insurance Cover Lactation?

If you have questions about whether this visit will be covered call your insurance plan directly. Catherine Fenner, IBCLC is NOT an in-network provider. Many plans do cover out-of-network providers, but not all.

  • Call your insurance company and ask “Do you cover out of network lactation consultation?”
  • Ask “Which provider types or credentials are covered in my breastfeeding support benefits?” If the benefits state the healthcare provider must be licensed, or a specific type that is not an IBCLC, then our services will not be a covered benefit.
  • If you are a member with an HMO or Select plan you may either 1. need a pre-authorization from the insurance plan to see an out of network provider (me) or 2. they do not cover out of network providers. This is not a guarantee of coverage though.
  • If you are a member of a state managed care plan (Apple Health, Molina, or a Community Plan) only in-network providers are covered.
  • Some insurance plans require a referral from your healthcare provider for breastfeeding support. This is still not a guarantee of coverage.