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Downloadable Forms

Click on the titles below to download and print a PDF form as part of your intake paperwork. Adobe Acrobat Reader is required to download and print these forms. You may download a free version of these forms at


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Phone: (907) 317-4125

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What They Say

“As a breastfeeding mom, I had been ‘somewhat’ successful for 5 months, but struggled due to my son’s lip tie. I had a virtual consult with Jordan and she was able to talk me through specific ways to adjust my son’s latch, making nursing more comfortable for both he & I!  Jordan also provided contact info for an oral surgeon in regards to the lip tie.  She was understanding of my needs and she was able to meet during a time that was convenient for me.  I highly recommend Jordan with Bump to Baby to assist with your breastfeeding needs! 


-Joni, KY