Test Form

I hereby give my consent for a blood sample to be taken for serological screening for breast milk donation, a serum sample of which is retained for 11 years. I understand that results may need to be shared with my GP and give consent for same.

The Human Milk Bank works alongside the Blood Bike Service, a registered charitable organisation who deliver blood products throughout Ireland. The Blood Bike Service now also transports donor breast milk from donors to the Human Milk Bank and from the Human Milk Bank to hospital units. The collections are co-ordinated by the Blood Bike Service and they will contact you directly to arrange a suitable time when they can meet you. Consent is required for the Human Milk Bank Service to share your name and contact details with the Blood Bike Service to enable them to contact you directly. The Blood Bikers will usually contact you by text or phone call within 24 hours prior to collection. If you are happy to share your details, please tick the box