The California Perinatal Quality Care Collaborative has had, since 2008, a
consent form for use by those seeking to use donated human milk from a
donor known to the family in need.  It it is their Toolkit for VLBW babies;
see Section 4 of the Appendices here:
http://cpqcc.org/quality_improvement/qi_toolkits/nutritional_support_of_the_vlbw_infant_rev_december_2008

-- 
Liz Brooks, JD, IBCLC, FILCA
Wyndmoor, PA, USA

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