Milk Donation Form

Call us at 877-813-6455 between 9-5 central Monday - Friday to complete Step 1 (10 minute phone screening). Or, fill out the form below to schedule your phone screening.

When we receive your inquiry, we'll call you to complete a 10 minute phone screening (Step 1 of our screening process). Please let us know when you'd prefer to be called -- options include 9-5 Central Monday through Friday.

Four Simple Steps to Donating Milk

See more information about our process and eligibility requirements.

Step 1

Complete a 10 minute phone interview

Step 2

Complete an online written interview

Step 3

Have a blood test done (we pay)

Step 4

Get approved as our newest lifesaving milk donor!