This agreement is between the Client and Fox & Cub Family Wellness, for the purpose of initiating insurance-covered lactation counseling services provided by our team of independent contractor IBCLCs (International Board Certified Lactation Consultants).

1. Insurance Submission Process

After signing this agreement, you will click the link below to open a new window and submit your insurance information through The Lactation Network (TLN), our contracted partner for insurance-covered services.

  • Standard turnaround time for TLN verification is 2–3 business days.
  • If you need faster processing, you may click the “urgent” button on TLN’s intake form to request 1–2 business day review.

2. Urgent Appointment Needs

If you need to be seen within 24–48 hours:

  • Please book an out-of-pocket appointment from the Lactation Counseling page on our website.
  • At the same time, submit your insurance information with TLN.
  • Once verified, we will continue your care under insurance coverage and aim to pair you with the same IBCLC (pending availability).

3. Telehealth Appointment Details

All lactation counseling appointments through TLN are conducted via telehealth only and are available to clients anywhere within the United States.

4. Insurance Coverage Responsibility

By signing this agreement, you confirm that:

  • You have already contacted your insurance provider to verify coverage for lactation counseling with an IBCLC through TLN.
  • You have reviewed TLN’s list of accepted insurance plans, which is included below and available on our website.
  • You understand that TLN approval is not a guarantee of full coverage, and coverage terms such as co-pays or deductibles depend on your specific insurance plan.

5. Administrative Fee Policy

You agree to pay a $50 administrative fee per appointment scheduled under insurance. This fee covers:

  • Scheduling coordination
  • Communication with TLN and your IBCLC
  • Secure documentation support
  • Ongoing platform and support access

Appointment booking links will be sent once your insurance is verified.
These links may only be used for the number of appointments your insurance approves.
For example:

  • If you are approved for 5 appointments, you may only use the link to book 5 times.
  • If you exceed this number, we will refund your $50 payment minus a $10 processing fee, which helps cover administrative costs and provider coordination.

6. Privacy Policy & Confidentiality

We are committed to maintaining your privacy. Your personal health and insurance information will never be shared or sold to third parties.

All of our IBCLCs follow strict documentation and privacy practices and are committed to handling your information with care and professionalism in accordance with federal and state laws.

7. Refunds & Cancellations

Fox & Cub Family Wellness does not offer refunds for any insurance-covered lactation counseling appointments.
Once you book, your contact details are shared with your assigned IBCLC.

Each provider follows their own cancellation and rescheduling policy, which will be shared with you directly. Missed appointments may count toward your approved sessions.

👉 Before signing below, please click the link below to open TLN’s Insurance Submission Form in a new window. Complete their intake form, then return to this page to sign and submit this agreement form.

Open Insurance Form

By signing below, you confirm that you understand and agree to the terms outlined above.

Use your curser or finger to sign in the box below. After pressing submit, the page will refresh, and you will see a green text box at the bottom of the page if you scroll down that will confirm your form has been submitted.

Once you have submitted your insurance information as well, TLN will begin verfiying your insurance coverage, and you will hear back from us as soon as they notify us regarding your coverage. In the meantime, if you feel you need to be seen right away, please go back to our website and checkout with the Initial Lactation Counseling package that is out-of-pocket.

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