Hey Mama — You're Almost There!
This is the secure insurance form we use to verify your lactation benefits. It takes 2–3 minutes and your information is kept 100% private and HIPAA-compliant.
🛑 Please complete and submit the entire form in one sitting — we’re not notified until it’s fully submitted, and it’s hard to come back later.
Once we receive your form, a real human (usually Nichole!) will personally review it and get back to you within 12-24 hours — often much faster.
Not sure if this is legit? You can >>>check out our 5-star reviews on Google here<<< to see what other moms say about working with us.
If you have questions at any point, email us at: nichole@nicholemccloy.com
You’re doing amazing. Let’s get you the support you deserve.
Create Your Account Login Below