Before completing the intake form, please ensure your milk is properly labeled with your donor number, last name, and the date of the oldest milk (including the year). If you have not completed your monthly required health form and it has been more than four weeks since you were approved to donate, you must complete your health form within 24 hours of your donation.

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Please complete the form below so we are notified of your donation and can schedule courier pickup. Once submitted, you will receive an email confirmation for your records.

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Thank you again for your generosity and commitment as a milk donor.