Breast Milk Donation Form

Thank you for your interest in donating breastmilk. By completing this form, you will be initiating the process to donate breastmilk to the WakeMed Mothers’ Milk Bank. Your generous donation will directly benefit NICU babies all along the east coast.

Step 1: Complete this online Breast Milk Donation Form

Step 2: Receive a call from our Donor Intake Coordinator

Step 3: Complete Donor Intake Forms

  -More in-depth questionnaire
  -Donor Consent Form
  -Release form(s) that give us permission to reach out to your doctor(s)

Step 4: Have blood drawn at a WakeMed or LabCorp location

Step 5: Become an approved milk donor and make your first donation!

Please expect to hear from us within two business days of form submission. If you have any questions, please feel free to contact us directly by calling 919-350-8599, option 1 or emailing us at

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