NICU Support Group with Blossom Forward, LLC.

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Event Timing: February 14th, 2024 (The 2nd Wednesday of Each Month at 9am)
Event Address: Virtually on Google Meet
You will receive an email the evening BEFORE the scheduled session with a secure link to the NICU Support Group

Name *

Email *

Phone Number *

What is your current relationship with the NICU? *

I am a parent or caregiver of a child currently in the NICU.

I am a parent or caregiver of child who was previously in the NICU.

I am a parent or caregiver of a child who is expected to be in the NICU.

I am a health care provider (Doctor, Nurse, Social Worker, Therapist, etc.)

Which hospital is your NICU relationship with? *

What is a topic you would like to discuss during our session? *

Overall, how would you say your mental health has been over the last 30 days? *

Very Poor

Excellent

I have read and understand the terms and conditions of this NICU Support Group. *

Yes

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