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While most referrals come from a member of the child's family or medical team, anyone who knows of a child in our community suffering from a medical disorder can refer a child. To be eligible, a child must be diagnosed with a medical disorder and must be under the age of eighteen.
Our form makes it simple to refer a child. Simply fill out the information and submit the form to us via mail at 204 Inverness Lane, Broussard, LA, 70518, or via fax at 337.857.7819 and we will begin to process your application right away.
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