Hospital Agreement and Application Form
To apply, please complete this fillable Adobe PDF application form and agreement, print, and mail to program coordinator Gwen Whittit at 1840 Trail End Drive, Goddard, KS 67052.
Please be sure to forward copies of any/all current breastfeeding policies from your hospital as well. Thank you for your interest in the High 5 for Mom & Baby Program.
The role of hospitals in
breastfeeding success
The importance of breastfeeding
