4 Steps to Requesting Donor Human Milk

Web inquiry form

The Milk Recipient Team will send you more information about receiving donor human milk services. A link to complete the screening forms will be included, along with instructions to share with your baby's physician if your child has a medical need for milk. Please review the attached handouts so that you're informed on storing & using donor human milk, important safety information, and MMBA's Privacy Practices.

Email & screening form

MMBA requires each milk recipient family to complete a Screening Form before services begin. This helps us determine if your child has a medical need for milk, provides important contact information for your family & your baby's physician, and contains an Agreement for Services. This document informs you about your responsibilities as a milk recipient. It also contains a Medical Release Form so that we can gather medical records for your child.

MMBA reviews & responds

A member of our Milk Recipient Team will contact you to let you know if additional information is required, discuss milk processing fees and make payment arrangements, or if we are able to dispense milk to your child. MMBA will schedule your first pick-up if you're in the Austin-area or provide information on shipping options (additional costs apply). Please note: MMBA is open Monday through Friday from 9 am to 5 pm CST and requires advance notice to schedule pickups. For local families with an urgent need for milk outside of those hours, call 512-494-0800 and follow the prompts. Our ability to assist after hours depends on milk supply and staff availability.

Receive milk

Place milk in your freezer and use it according to MMBA's instructions for Storing & Using Donor Human Milk in the Home. If you received a milk shipment, please use these instructions to check the condition of the milk upon arrival.

Please complete this form to obtain more information on receiving donor human milk.

Parent First Name*
Parent Last Name*
Preferred Phone Number*
Phone Number*
Email Address*
Street Address*
City*
State*
Zip Code*
Infant's First Name
Infant's Last Name*
Infant's Date of Birth or Due Date*
Reason Baby Needs Donor Human Milk?*
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Click Submit only once! If you already completed this form and wish to request more milk, call or email MMBA's Recipient Team directly for assistance.
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5925 Dillard Circle
Austin, TX 78752

Main: 512- 494-0800 Toll-Free: 1-877-813-6455
info@milkbank.org

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