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Outpatient Pasteurized Donor Human Milk Interest Form

Pasteurized donor human milk from the Minnesota Milk Bank requires a healthcare provider’s prescription for more than ten 4 oz. bottles. Talk with your baby’s provider about using donor milk at home. If you and your provider agree that donor milk is needed an account for your family will be set up. Donor milk for outpatients is dependent upon availability and hospitalized infants are given priority. Donor milk is available in frozen 4 oz. bottles at $18/bottle. Orders 10 – 50 bottles accepted. Some exceptions may apply.

Submit this form below. You will be contacted when your order is received to confirm availability, finalize the order, and for payment information. Any shipping costs are paid by the purchaser. Payment by credit card only. Hours: M-F, 8:00am – 4:00pm. Closed weekends and major holidays. For questions, call 763-546-8051.

Due to COVID-19 appointments are required to help ensure safety for you and our staff.

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