THANK YOU FOR YOUR INTEREST!

 

Applications Are Currently Open

Have you submitted a contact form or donated to us in the past? 
If you have completed a contact form in the past, the website will not allow you to save a new one. Please do not submit a new one with alternate contact information. Instead, email us at donorapplications@prolacta.com for instructions on moving forward.

Please note: Prolacta Bioscience contributes $1.20 to NICU Parent Network for every ounce of qualified milk received from our Helping Hands donors. NICU Parent Network is a nonprofit organization of NICU parent leaders who help look out for the specific needs and best interests of NICU families. After all, these tiny warriors deserve big warriors to walk alongside them in their fight. You can learn more about the NICU Parent Network by visiting their website.

While Helping Hands Milk Bank does not compensate donors for their donations, we do cover the costs associated with donating, which include donor testing, qualification, shipping, and supplies.

Please Read Before Moving Forward:

  • Completing the application may take approximately 45-60 minutes to complete. Ideally, it should be finished within one sitting; however, progress may be saved for up to 7 days. Applications not submitted within this timeframe will be removed from our system and a new application will be required if you return later.
  • Our application will ask for your healthcare provider and pediatrician’s contact information (name, phone, fax, email) and about your medical history. We recommend gathering the following information before you start your application:
    • Contact information for both you and your baby’s healthcare providers.
    • Dates of vaccines you received within the last 12 months.
    • Dates of illnesses or medical procedures.
    • Labels for the medications and supplements you take on a regular basis.
  • You will not be required to provide copies of medical or vaccination records.
  • At this time, we can only accept donations from individuals who reside in the US.

By completing this form, you are affirmatively and voluntarily providing your personal information to Prolacta so that we can potentially qualify you as a human milk donor.

Thank you for helping babies like me!
Receive up to $300 in breast pumping supplies

By providing your contact information, you not only begin the application process, but you also provide us with a way to follow up with you should we have any questions regarding your application. Please review our qualification guidelines and donation process pages. After submitting this form, you can expect to hear back from us within 10 business days.

As an operating company of Prolacta, Helping Hands Milk Bank does not qualify as a 501(c) and therefore cannot accept financial contributions.
 

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