Your application has been successfully submitted!

Once we have confirmed receipt of both your Outpatient Information and Application Packet and your application for Medical Relief we will review them to determine your eligibility. We will contact you within XtimeframeX to determine the amount of milk to be dispensed and the charge per ounce for the milk. We will also confirm your delivery or pickup details.

If you have not been contacted in XtimeframeX please feel free to contact us at 317-536-1670.