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* 1. Address

Hospital Information
Share with us more information about your hospital 

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* 2. Hospital/Institution Name

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* 3. Your  Role/Position in Hospital

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* 4. Interested Department ( check that apply )

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* 5. Has your hospital used a Skin-to-Skin device? If yes, which one?

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Size Chart

Size Chart

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* 7. If inquiring for a NICU, how many beds does your NICU provide?

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* 8. NICU Admissions per year:

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* 9. If inquiring for a Birth Center, how many births does your nursery have each year?

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