Contact details First name Surname Your date of birth Contact details Telephone number Email address Street and house number Postal code Commune Additional information In which hospital did you give birth? Is or was your child hospitalised in a NICU (neonatal intensive care unit)? Yes No Have you donated to our donor milk bank before? Yes No Do you have a freezer at home that can cool to -18°C or lower? Yes No How did you hear about DONEO? Through friends or family Gynaecologist/midwife/healthcare provider at UZ Leuven Gynaecologist/midwife/healthcare provider at another hospital Another healthcare provider Social media Poster or flyer Other Breast milk donation registration form Last edit: 8 december 2025