the pouch — Kangaroo Kids

The Pouch Includes

All About Me & Emergency Information
Appointment Calendar
Daily Log
Infusion Log
Therapy Log
Insurance Call Log
Sleep & Overnight Care
Questions
Notes
Other Resources
Medical History & Diagnosis
Procedures & Surgeries
Allergies
Medical Equipment
Labs & Blood Work
Immunization Record
Medications
Sicknesses
Physicians Information
Therapist Information
Milestones

REQUEST A POUCH

Parent's Name

First Name

Last Name

Child's Name

First Name

Last Name

Parent's Email Address

Full Mailing/Shipping Address

WE DO NOT SHIP THE POUCH OUTSIDE OF THE CONTINENTAL UNITED STATES. If you live outside the US, you may request The Pouch, but you will receive the electronic files.

Requesting Parent's Cell Phone

(###)

###

####

Hospital where child receives treatment

Child's Complete Medical Diagnosis

Due to high demand for The Pouch, all pouch requests are reviewed by our medical team for eligibility based on provided medical complexities. Please provide complete medical information.

Child's Date of Birth

How did you learn about The Pouch.

Please be specific! Do NOT just say Facebook. We are requesting the specific Facebook group or the name of the person who shared information about The Pouch.

Comments

Partnerships

Kangaroo Kids is always seeking new hospitals or associations to partner with for distribution of the Pouches. If you are interested in partnering with us, please contact us!

Current Partners Include:

NorthEast– Carolinas Health Care System Concord, NC
Levine Children’s Hospital – Carolinas HealthCare System Charlotte, NC
North Carolina Children's Hospital Chapel Hill, NC
Novant Forsyth Winston-Salem, NC
Novant Hemby Children's Hospital Charlotte, NC
St. Jude Children's Hospital Charlotte, NC
Stanford University's Lucile Packard Children's Hospital Palo Alto, CA

See the impact