ORDER MILK

Hospital or Pharmacy Order Form

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

 

Family Order Form

Upload prescription
Max File Size 15MB

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

 

Pharmacies:

 

Breast milk is currently available at the following pharmacies:

728 Northmount Drive, Calgary, AB T2K 3K2

Phone: 403.289.9181

106 11601-101 Avenue, Grande Prairie, AB T8V 3X9

Phone: 587.299.9555

 
 

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

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