Mentor/Mentee Agreement

I,                                                                        ,(mentor) enter into agreement with

  • I understand that we 

  • I understand that for this lactation consultation and all follow-ups, the Lactation Consultant will protect the privacy of my personal information as required by the Code of Ethics of the International Board of Lactation Consultant Examiners, and the Standards of Practice of the International Lactation Consultant Association.

  • I understand that [mentor name] will mentor future lactation specialists and will also ask verbal consent for mentees to join in-person visits or telehealth visits for observation purposes. 

Include: 

contact information (including preferred methods and time)

establish a meeting schedule

iterate objectives and goals of both parties

set progress check dates

an end date to the contract 

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Guidelines and Resources for IBCLC Mentors

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