Tethered Oral Tissue Evaluation


  • In order to protect your family and mine, safety protocols are followed in accordance with the State of CA, Sacramento County Health Department, U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA).

TOT Evaluation Only
Telehealth Consult: $150.00/$180.00 twins.
In-home Consult: $195.00/$225.00 twins (travel fees may apply). This evaluation lasts up to 2 hours (longer for twins), depending on the complexity and the needs of the family.

This consultation is an evaluation only, for tethered oral tissues (lip/cheek/tongue tie) and structural issues** that can contribute to breastfeeding/chestfeeding and lactation difficulty. The evaluation also includes a care plan to help your baby, protect your milk supply, referrals to appropriate care providers/bodywork practitioners to help your situation and correct issues.

**NOTE:  This is not a consult to evaluate a baby’s latch, position, or breastfeeding/chestfeeding skills.  If you need that help schedule a Comprehensive Initial Consultation.

**Structural issues are asymmetries and/or myofascial restrictions in the baby’s body that make it difficult for them to feed well (or not at all in some cases), be calm and relaxed, or sleep well.

Travel Fees
Travel time is included up to 1 hour round trip from my zip code (95826).  Exceeding 1 hour, a fee of $15 per each additional 15 minute increment of travel time is charged.

Payment is due in full at time of service. Cash, HSA/FSA, Visa®, and Mastercard® are accepted. Depending on your insurance, a superbill may be provided upon request. Reimbursement is not implied nor guaranteed. Cancellations must be made 24 hours prior to the appointment time.

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