Partners
Cribs for Kids Partners Page
Referral Form: Use ONE
- Prenatal Referral Form (PDF) / (Spanish Version) (PDF) OR
- Postpartum Referral Form (PDF) / (Spanish Version) (PDF)
After Health Department approval and crib is delivered, use all the following forms at home visit:
- Checklist (PDF) / (Spanish Version) (PDF)
- Cribs for Kids Hold Harmless Agreement (PDF) / (Spanish Version) (PDF)
- Safe Sleep Questionnaire (PDF)
- 12 Steps for Safe Sleep (PDF) English & Spanish
- Safe Sleep for Your Baby (PDF) English / (Spanish Version (PDF)
- About Your Graco Pack n’ Play (PDF) / (Spanish Version) (PDF)
- About Your Cribette (PDF) / (Spanish Version) (PDF)
- Contact Information Form (PDF) /(Spanish Version) (PDF)
3 Month follow-up Questionnaire:
Supplemental/supporting information for home visits:
- National Cribs for Kids Animated Airpipe video
- Safe Sleep for Babies PowerPoint—English (PDF)
- Safe Sleep For Babies PowerPoint--Spanish (PDF)
- Why Back Sleep Position is Best (PDF)
- Triple Risk Model (PDF)
- Safe Sleep Ambassador Training available in English & Spanish
How to Set up your Cribette
How to Set Up Your Pack N Play