ORDER MILK

Hospital or Pharmacy Order Form

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Family Order Form

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* We will follow up via phone or email to confirm your order.

Thank you! We will follow up with you shortly!

 

Pharmacies:

 

Frozen pasteurized donor human milk is currently available for purchase without a prescription for up to 10 bottles (120 mL ea), at the following pharmacies:

CALGARY

728 Northmount Drive NW, Calgary AB, T2K 3K2

Phone: 403.289.9181

100 - 7015 Macleod Trail SW, Calgary AB, T2H 2K6

Phone: 403.253.6773

142 - 3715 51 St SW, Calgary AB, T3E 6V2

Phone: 403.249.4346

GRANDE PRAIRIE

10320 99 St, Grande Prairie AB, T8V 6J4

Phone: 780.513.7500

JASPER

600 Patricia Street, Jasper AB, T0E 1E0​

Phone: 780.820.1091

MOOSE JAW

7A Thatcher Dr E, Moose Jaw SK, S6J 1L8

Phone: 306.692.222

 
 
How to Write a Prescription.jpg

How to Write a Prescription:

 

If more than 10 bottles are needed:

  • Recipient Name

  • Recipient Date of Birth

  • Recipient (last name) if prenatal indication

  • Recipient Physician: __________________ (please print) 

  • Reason for supplement --gestational diabetes, hx of low milk supply, delayed lactogenisi II

  • Duration – X 2weeks/one month/as needed