Family Specific Needs Application
What gestation was your baby(ies)?
Which hospital is/was your baby in the NICU?
University of Kentucky
Baptist Health Lexington
SJE Women’s Hospital
Tell us about your birth and NICU experience so far (i.e. set backs, family struggles, achievements, etc)
What is your biggest financial struggle/need at this moment related to your delivery recovery/NICU journey? (Be Specific)
Have you applied for/received financial assistance from any other organization? If so, please provide name of organization and assistance provided.
Please list names and ages of all family members living in your home currently.
Send me a copy of my responses.
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