Request an Assessment Your Full Name(Required)tu nombre completo Email Address(Required)Correo electrónico Phone Number(Required)TeléfonoChild's Full Name(Required)Nombre del niño/a Child's Date of Birth(Required)Niño/a Fecha de nacimiento MM slash DD slash YYYY Child's Diagnosis(Required)niño/a diagnóstico Select Location(Required)Seleccione ubicaciónPlease Select OneBowling GreenErlangerLexingtonLouisvilleNotesNotasChildren who have an ongoing medical condition and require daily skilled nursing or monitoring may be eligible to attend The Kidz Club. A provider referral is not required to determine a child’s eligibility for services. Children with emotional, behavioral, and/or psychosocial diagnoses that do not require skilled nursing care may not qualify for our services. For information on additional resources, please visit our resources page.
