Butterfly M.O.M.s (Missing Our Multiples)-Request to Join Group

Butterfly M.O.M.s is a support offering through the H.E.A.R.T.strings Perinatal Bereavement Office of Northside Hospital.  This group offers social support through a private online facebook forum at Butterfly M.O.M.s (Missing Our Multiples)-Atlanta.  We also meet periodically in social settings.  This group is open to anyone who has experienced the loss of one or more multiples from a pregnancy and is coping with the joys and challenges of raising the surviving baby(ies).  Please let us know more about you and we will reach out to you shortly with more information.  If you have not heard from someone within 5 days after completing this form, please contact our office at 404-851-8177.
1.Your email address
2.Your name
3.Your best contact number
4.General area where you live
5.Your multiples story:
6.What have you struggled with the most?  (Check all that apply)
7.When was your loss?