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Thank you for your generous desire to donate your extra breast milk to premature babies!

We are happy to answer any questions you may have about becoming a breast milk donor and to assist you through the donor qualification process.  Please do not hesitate to call Keri or Alice at (714) 965-6262 or email us at

Once you submit the form below, you will continue to the on-line application.  Your application will be reviewed within 2-4 business days and you will receive an email with the next steps.  Please fill out the on-line application from a desktop or laptop computer, not a tablet or smart phone.

Babies LIVE because you GIVE, thank you for sharing!


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Please click Submit to move onto the Prolacta on-line donor application.
Click to Apply