>>BEFORE YOU REQUEST AN APPOINTMENT, PLEASE BE FAMILIAR WITH FEES AND INSURANCE. 

This form will allow you to request a virtual appointment with Renee Beebe. You may be contacted to get more information (or offer an alternative time) before your appointment is scheduled. Feel free to call or email.

**Please enter the breastfeeding parent information as requested. In the section where you can tell me the reason for the appt, please provide this additional  information.** 

• Baby’s name and date of birth
• Your mailing address
• Who referred you
• Name of health insurance company

** Reminder: I am in network with First Choice and Aetna for virtual visits. For other insurance I will provide you with a superbill so you can submit a claim for reimbursement.

If you don’t see a time that works for you, please send an email or call at (206) 356-7252. I look forward to meeting with you!

If you want a home visit, please call Renee at  206-356-7252