Humboldt County Breastfeeding Support Book an Appointment To book an appointment, please submit the form below: Name * First Name Last Name Email * Phone Number (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Your Date of Birth * MM DD YYYY Health Insurance Plan * Infant(s) Name(s) Infant(s) Date of Birth * MM DD YYYY Please provide a brief description of what you need help with: * Thank you! I have received your message and I will get back to you with my availability as soon as possible. Providing in-home lactation support to families across Humboldt County