Donor Registration & Screening Form

Registering to become a Donor Mother is a 2 STEP process.

STEP 1

Please fill out the Donor Registration & Screening form below and SUBMIT

STEP 2 – Blood Tests

To donate we need your donor screened blood results.
Please call your GP to order the blood test, they will bulk bill. Ask your GP for the blood test needed to donate & to give you a copy of the results.

TEST FOR :

Hep B & Hep C, HIV, Syphilis, HTLV 1 & 2, CMV
You will be emailed with more detailed information once STEP 1 is submitted.

Thank you
Thank you for offering to donate your breast milk. This will help parents and carers with babies in need of breast milk make a healthy start to life. To confirm your donor milk is safe for other babies, some of whom are particularly vulnerable, we ask you to undertake some standard blood tests and to answer the following questions. If you are unsure about any of the question, please speak to your doctor.