Check your IBCLC Pathway Eligibility This form is designed to help you determine which IBCLC certification pathway (Pathway 1, 2, or 3) you may qualify for, based on your education, clinical experience, and professional background. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Personal & Contact Information1. Name *2. Email Address *3. Phone Number4. Country of Residence *5. Preferred Language for the IBCLC Exam *EnglishOtherOther *Health Science Background6. Are you currently a recognized health professional according to the IBLCE? (Recognized health professionals, as defined by the IBLCE, are exempt from the Health Sciences coursework requirements listed in Questions 7A and 7B.) *Physician (MD or DO)Registered Nurse (RN, LPN, RPN)Midwife (CPM, CM, CNM, RM, etc.)Physician Assistant (PA)Dentist (DDS or DMD)Pharmacist (RPh or PharmD)Occupational Therapist (OT)Physical Therapist (PT)Speech-Language Pathologist (SLP)Dietitian/Nutritionist (RD, RDN, or country equivalent)OtherI am not a recognized health professionalI'm not sureOther *7A. University-Level Health Sciences Courses (Skip this question if you selected any of the above recognized health professions.)BiologyHuman AnatomyHuman PhysiologyInfant and Child Growth and DevelopmentIntroduction to Clinical ResearchNutritionPsychology, Counselling Skills, or Communication SkillsSociology, Cultural Sensitivity, or Cultural AnthropologyI have completed all 8 of the above through a college or universityI have completed some of the aboveI have not completed any of the aboveI'm not sure7B. Additional Required Health Sciences Subjects (Courses may be from academic or continuing education providers.)Basic Life Support and currently hold a valid certificateMedical DocumentationMedical TerminologyOccupational Safety and Security for Health ProfessionalsProfessional Ethics for Health ProfessionalsUniversal Safety Precautions and Infection ControlI have completed all 6 of the aboveI have completed some of the aboveI have not completed any of the aboveI'm not sureplease explainLactation-Specific Education8. Have you completed at least 95 hours of lactation-specific education within the past 5 years? (This must include a minimum of 5 hours focused on communication skills.) *NoYesIn progressI'm not sureplease explain *10. If yes or in progress, please provide details:- Name of course/program *- Education provider/organization *- Date(s) attended or expected completion *Clinical ExperienceA. Type of Work *I work regularly with lactating mothers or breastfeeding families.I have worked with lactating mothers or breastfeeding families within the last 5 years.I do not work with lactating mothers as part of my job.I'm not sureplease explain *B. Clinical Experience – Number of Lactation Support Hours *I have accrued at least 1000 hours of lactation support in the last 5 years.I have accrued _________ hours of lactation support in the last 5 years.I have no clinical experience in lactation supportI'm not sureNumber of hoursplease explain *C. Lactation Academic Program (Have you completed or are currently enrolled in a lactation academic program?) *NoYes- Program name *- Institution *- Dates attended *D. IBCLC Mentorship (Are you currently working with or have worked with an IBCLC mentor?) *NoYes- IBCLC mentor's name (if applicable) *- Estimated number of hours completed or planned *- Timeframe *E. Do you provide breastfeeding support through a Recognised Breastfeeding Support Counsellor Organisation (Volunteer or paid)? *Yes, I am/was within the last five yearsNoNot sureFinal Question (Optional)Do you have anything else you would like to share about your professional background that was not covered above and may be relevant to your IBCLC eligibility?Get My Pathway Report