Healthcare Provider Verification for Current Hospital Stay

Healthcare providers: Please fill out the form below or use the templates as a letter and email to

Foundation Verification Letter for Pregnancy
Foundation Verification Letter for NICU

Applications are currently closed for a short break. We will reopen applications on July 29. Applications submitted before our break will be processed. This form is ONLY to be used for healthcare providers to verify a patient's status. Any applications submitted through here will not be reviewed.

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