Public Mother's Milk Bank Program

Register for the Public Mothers' Milk Bank

Here is how to register for the Public Mothers’ Milk Bank:

  1. Fill out the following forms:
    1. Registration Form
    2. Consent to Donation – Cord Blood/Mother’s Milk
  2. Have a health professional fill out the form Public Mothers’ Milk Bank – Professional’s Consent
  3. Send all 3 forms to Héma-Québec by email or postal mail
  4. Answer a questionnaire and have a blood sample taken to ensure that you qualify
If the health professional charges a fee for signing the form Public Mothers’ Milk Bank – Professional’s Consent, fill out the form Request for Reimbursement and send it with your application, together with your receipt. 

Survey:Your comments about this page...

To continue, correct the error(s) below.

1. You must at least answer one question or write a comment.

The content of the page:

  • has met my needs?
  • was easy to understand?