---
title: Certified Lactation Educator Reference Check Form Template | Paperform
description: Professional reference check form for hospitals to verify lactation educator skills including breastfeeding support, patient education, pump training, and compassionate care.
url: "https://paperform.co/templates/certified-lactation-educator-reference-check-form"
type: static
generatedAt: "2026-03-31T00:47:50.190Z"
---

[← Back to free form templates](/templates/)    ![Certified Lactation Educator Reference Check Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/certified-lactation-educator-reference-check-form.png)
    [Preview](https://_preview.paperform.co/ai-template/certified-lactation-educator-reference-check-form) [Use this template for free](/create?ai-template=certified-lactation-educator-reference-check-form)    [Verification & Validation Forms](/templates/category/verification/)[Human Resources Forms](/templates/category/hr/) [Healthcare](/templates/industry/healthcare/) [HR Manager](/templates/role/hr-manager/)[Recruiter](/templates/role/recruiter/)[Nurse](/templates/role/nurse/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
Hiring the right certified lactation educator is critical for hospitals and healthcare facilities committed to providing exceptional breastfeeding support to new parents. This **Certified Lactation Educator Reference Check Form** streamlines the verification process by gathering comprehensive feedback from professional and personal references about a candidate's clinical skills, patient education abilities, and compassionate care approach.

Built specifically for healthcare HR teams and nursing managers, this template goes beyond basic employment verification to assess the specialized competencies that matter most in lactation support roles: breastfeeding troubleshooting expertise, pump training proficiency, patient communication skills, and the ability to provide empathetic, culturally sensitive care during vulnerable postpartum moments.

The form captures structured ratings on clinical knowledge, practical skills with various breast pump models, ability to handle complex breastfeeding challenges, and interpersonal effectiveness with patients and multidisciplinary teams. References can provide detailed examples of the candidate's work, highlight strengths, and offer candid feedback about areas for growth—all through an intuitive, HIPAA-aware format that respects confidentiality.

**Paperform** makes it simple to send this reference check form via secure link, automatically collect responses in a centralized dashboard, and use conditional logic to ask relevant follow-up questions based on the reference's relationship to the candidate. With built-in reporting and **AI Insights**, you can quickly identify patterns across multiple references and make confident hiring decisions faster.

For healthcare facilities managing high-volume recruitment, you can connect this form to your ATS or HRIS via **Stepper** (stepper.io) to automatically notify hiring managers when references are complete, update candidate records, and trigger next steps in your hiring workflow—no manual data entry required.

Whether you're building a lactation support program from scratch or expanding your team of educators, this template ensures you gather the detailed, consistent feedback needed to select candidates who will genuinely support and empower new families during their breastfeeding journey.
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