MEDICAL APPLICATION
If you have or know of a family with a child in the hospital, or with a medical condition please email the following information to [email protected]
Name of child:
Age of child:
Address and phone number of child's parents:
Hospital where child is located, if hospitalized:
Any information you wish to share about child and family:
Like all UCS, we will NEVER share personal information. We may post generic info about our donations. Names will be private unless we are given your permission to share.
We will do our best to help with gas and food cards or possibly a monetary donation.
Name of child:
Age of child:
Address and phone number of child's parents:
Hospital where child is located, if hospitalized:
Any information you wish to share about child and family:
Like all UCS, we will NEVER share personal information. We may post generic info about our donations. Names will be private unless we are given your permission to share.
We will do our best to help with gas and food cards or possibly a monetary donation.
