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Breastfeeding clinic referral form

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If a mother is having difficulties with breastfeeding, consider signposting her to the range of community resources available on this page.

If difficulties persist, despite help from yourself and their health visitor, consider a referral to the Infant Feeding Advisors in GGC. Complete the referral form with as much information as you are able to provide and e-mail to

Editorial Information

Last reviewed: 04 August 2021

Next review: 04 August 2022

Author(s): Ruth Bland, Gillian Bowker, Debbie Barnett