Baby Care Kit Request Form

Thank you for your interest in distributing the EOCCO Baby Care Kit in your community! The kit provides EOCCO parents with resources and supplies they would not typically receive when leaving the hospital after giving birth. These resources will help parents make informed decisions for their babies and themselves. The kit includes:


  • Adult Toothbrush/paste
  • Baby Toothbrush/paste
  • Baby Care Journal
  • Child Wellness Flyer (ages 0-2)
  • Cribs for Kids Postcard
  • Emergency Resource Flyer
  • Food Hero Recipe Cards
  • Important Phone Numbers Flyer
  • Vaccine Reminder Magnets


Complete this form to begin receiving Baby Care Kits in your community.

Select
Caret IconCaret symbol
Phone
Are you affiliated with a Local Community Health Partnership (LCHP)?*
Select or enter value
Caret IconCaret symbol

Questions?

Contact EOCCOmetrics@modahealth.com with questions or concerns.

Privacy Notice|Report Abuse