H.A.N.D.S.

HANDS Program Welcomes Parents-To-Be!

Are you pregnant or have a baby under less than 90 days old? The HANDS Program is now accepting families. Whether this is your first baby or your sixth, you’ll love the support & expertise our knowledgeable staff members bring to the comfort of your home. Call us at 859-497-2431 to see if you might be eligible for our services – most are! This service is free to all families, regardless of income.

HANDS will guide you in the latest recommendations for having a healthy pregnancy, labor & delivery, as well as explore your hopes & dreams for your baby’s future. You’ll also get the most up-to-date information on early brain development and how you can support your child in developing to his or her full potential.

Local HANDS Agency Information

Participant Name:
HANDS is a voluntary program for all families. Babies deserve safe, healthy, and happy childhoods, and we can support you in reaching this goal. This referral is the first step to help determine if HANDS might be a good fit for your family. Enrollments must occur within 90 days of baby’s birth.

Parent/Legal Guardian Information

Name:
Previous HANDS Participant:
Address
Leave messages?
Text?
Leave messages?
Text?
Relationship to Baby:
MM slash DD slash YYYY
What primary language is spoken in the home? Is an interpreter required?

Referral Information

MM slash DD slash YYYY
Please select how the participant learned about HANDS or which type of agency you represent from the list below.

Referral Source

If this is not a self-referral, please complete the following information.

Name:
Does the family know you are making a referral on their behalf?
*Please return completed referral to your local HANDS Program via the contact information listed above.*

Call us today, or drop off this easy application form!

HANDS Handout

Hands Handout

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For more information upload this HANDS FLYER