This request should be submitted on behalf of Colorado Hospital or Medical staff ONLY.
Please fill out the below form if you are affiliated with a Colorado Hospital or Ob/Gyn Medical Office and would like one or more of the following:
- To be added to our distribution list for Remembrance Care Packages
- If your hospital or medical office is already on our distribution list and you are in need of additional Remembrance Care Packages
- Would like to receive any other NILMDTS support materials
If you have any general questions, you can also email us after filling out the form.