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13783 Ibis St NW Ste 200
Andover, MN 55304
Billing & Insurance
After placing your order and speaking with Milk Moms, you will be directed to fill out this authorization and consent document.
WAIT, READ BELOW FIRST!
Please do not fill out this form if you haven't spoken with Milk Moms yet. If you are inquiring about a pump, please fill out the fast track order form first. We will instruct you when to use the authorization and consent document.
If you have already filled out the fast track order form, or have been instructed to complete the authorization and consent document, please continue below.