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ORDER MILK

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FAMILY ORDER FORM

(more than 10 bottles)

Hospital or Pharmacy Order Form

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

Thank you! We will follow up with you shortly!

HOSPITAL OR PHARMACY ORDER FORM

Family Order Form

Upload File

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

Thank you! We will follow up with you shortly!

FAMILY ORDER FORM

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:

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CALGARY

728 Northmount Drive NW, Calgary AB, T2K 3K2

Phone: 403.289.9181

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

Phone: 403.253.6773

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

Phone: 403.249.4346

PHARMACIES
HOW TO WRITE A PRESCRIPTION
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How to Write a Prescription:

 

If more than 10 bottles are needed:

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  • 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

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