Get your prescription ready
Fill in what you know and we will make the form. Anything you leave blank prints as an empty line for your doctor.
Your prescription is ready
It’s saved to your device. Now it just needs your doctor’s signature.
- Get it signed Bring or send it to your doctor. They sign and date it.
- Send it to us You or your doctor can fax it to (866) 430-7882 or email it to RX@thebreastfeedingshop.com. Or order online and upload it there.


