Skip to content
Facebook
Oklahoma Mothers Milk Bank Logo
Donate Milk
Donate Money
Send Supplies
Apply To Receive Milk
  • Home
  • About Us
    • Our Background
    • Our History
    • The Board
    • Our Staff
  • Bereavement Program
  • Forms
    • Milk Donation
    • Monetary Donation
    • Outpatient Request Form
    • Volunteer With Us
  • FAQs
  • News
  • Contact Us
  • Moms Milk Circle

Outpatient Request Form

  1. Home
  2. Forms
  3. Outpatient Request Form
Outpatient Request FormDiocko.Dev2025-09-18T15:20:06-05:00
Most of the donor milk dispensed by Oklahoma Mothers’ Milk Bank goes to preterm or ill babies in a hospital setting. If hospital needs are met and our stock of donor milk allows, we then dispense milk to babies in the home setting that have a medical need or a case where there is not enough or any mother’s own milk.

Please know that we cannot promise that we will have milk for your baby when you apply. Please wait for our staff to email or call you with follow up questions to decide if we have milk to supply for your baby. We have limited amounts of donor milk for babies in the home with priority given to ill babies and newborns. We would like to provide milk to older, healthy babies but we may not be able to serve all of them.

To Make A Payment Only

Click on the button to pay now:

© 2024 Oklahoma Mothers' Milk Bank. All rights reserved. 940 NE 13th St, Garrison Tower, Suite 1220, Oklahoma City, OK, 73104
Facebook
Page load link
Go to Top