The Breastfeeding Collective
at Kindercare Pediatrics

491 Eglinton Avenue West,
Suite 301
Toronto, Ontario
M5N 1A8

Late policy: A shortened appointment will be offered if you arrive within 20 minutes of the scheduled appointment and the minimum payment of $100 or $200 (for twins) will still apply. If you arrive more than 20 minutes late, the appointment may need to be rescheduled and a cancellation fee of $50 will apply.

Cancellation policy: You must provide at least 24-hours notice, not including weekends and holidays, to cancel or reschedule your appointment.

Complete this form to request an in-office appointment with Alex.

Once your appointment request form is received, we will email you within one business day to schedule your appointment.

Click here for more information about our fees.

Breastfeeding Parent's Name *
Breastfeeding Parent's Name
Date of Birth *
Date of Birth
Phone *
Baby's Name/Babies' Names *
Baby's Name/Babies' Names
Type both names in the case of twins. Type N/A in the case of a prenatal appointment.
Date of Birth *
Date of Birth
Appointment Type *
Do you need a:
Does your baby feed at the breast? *
Do you use a nipple shield when you feed your baby? *
Policies *

Once submitted, this form is emailed to both The Breastfeeding Collective and Kindercare Pediatrics in order for an appointment to be scheduled. If you are not comfortable emailing your information, as email is not a secure form of communication, contact alex@breastfeedingcollective.com and arrangements will be made to collect your information by phone.