Nominations

If you or someone you know has recently learned your child has Hypoplastic Left Heart Syndrome please fill out the form below. We would like to send you a specially designed care package with items that may make your hospital stay a little easier. Most of all we want you to know that there is hope and you are not alone.  To see some of the items in our care packages, please click here.

Please provide us with as much information as possible. If you are unsure of something just leave that question blank, we will contact you if we need more information.

To access the form for a newly diagnosed infant, please click here.

If your family is preparing for your child to undergo their Fontan (3rd staged surgery), then we would like to send them a Fontan Superhero Package!  This new package is designed specifically for toddlers and preschoolers to help keep them comfortable and occupied for their hospital stay. A surgery date is required for us to send you this package.

Please provide us with as much information as possible.  If you are unsure of something just leave that question blank, we will contact you if we need more information.

To access the form for a Fontan package, please click here.