Parent Mentor Request Form
Are you a new Preemie parent? Are you looking for someone to understand exactly what you're going through? Preemies Today offers Parent to Parent mentoring. Volunteer parents who have been on a similar journey can have as much or as little contact to lend a listening ear and support you on your journey. Please fill out the following form to be matched with a parent mentor.
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What gestational week was your baby born?
Which NICU is your baby located at?
What challenges has your baby had in the NICU?
What challenges have you (as a parent) had in the NICU?
Which way do you prefer to chat with a mentor parent?
Which language is spoken at home?
Name
Child's name and birth day
Phone Number
Email Address
Time of day preference to be contacted
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