Lactation Consultant Peer Nomination Form
About this free form template

Celebrate Excellence in Lactation Support

Lactation consultants play a vital role in supporting families through one of the most challenging and rewarding aspects of early parenthood. This Lactation Consultant Peer Nomination Form provides a structured way for healthcare professionals, colleagues, and community members to recognize those who go above and beyond in providing breastfeeding support and education.

Why Use This Template?

Whether you work in a hospital, birthing center, community health organization, or private practice, acknowledging excellence in lactation consulting strengthens your team and highlights the professionals who make a real difference in family wellness. This template captures the specific competencies that matter most: clinical problem-solving, compassionate care, educational contributions, and family empowerment.

Perfect For Healthcare Organizations

This form is ideal for:

  • Hospitals and birthing centers recognizing outstanding IBCLC staff
  • Community health programs celebrating peer educators and lactation supporters
  • Professional lactation associations collecting nominations for annual awards
  • Maternal health organizations highlighting advocates for breastfeeding support

Built for Meaningful Recognition

The form guides nominators through sharing specific examples of clinical excellence, educational impact, and family-centered care. Fields are designed to capture both quantitative achievements and qualitative stories that illustrate why a consultant deserves recognition.

Streamline Your Awards Process with Paperform

Paperform makes it easy to collect, review, and manage peer nominations without the back-and-forth of email chains or paper forms. With conditional logic, you can tailor questions based on the nominator's relationship to the candidate, and with integrations, you can automatically route submissions to your awards committee or add them to your review workflow.

For organizations running comprehensive recognition programs, consider connecting this form to Stepper to automate your entire awards workflow—from submission confirmation to committee review scheduling and finalist notifications.

Celebrate the lactation consultants who empower families, solve complex feeding challenges, and contribute to healthier communities. Start recognizing excellence today with this professional, ready-to-use nomination form template.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.