Donation Form
You can start saving lives today.
We are happy that you are interested in becoming a donor with Ni-Q. In order to ensure that our HDM™ is the very best option for at-risk infants, we have established a rigorous and comprehensive screening process for potential donors. The first step is filling out the form below. Once you successfully complete and submit the form, we will review it and contact you as soon as possible. As always, please let us know if you have any questions.
We are closed for the Holidays! See you in January.