Schedule

We are experiencing website difficulties. Please do not submit the form below at this time as we are not able to receive them. Instead call or email at the number/address below and we will be happy to assist you as soon as possible.


Call us: 773 595-5593
Email us: barbara@mothersmilkco.com.
Or complete the form below.

Client Information Form

To schedule an In-Home or Tele-Health Consultation, fill out the form below. We will contact you shortly if we have not already been in contact. Thank You!

  1. Mother/Birth Parent's Information
  2. (required)
  3. (valid email required)
  4. Infant's Information
  5. (required)
  6. Reason for Visit