Application Forms for Follow Your Heart Camp
Please fill out the application and provider forms below and send to:
Pediatric Heart Center
1 Hoppin St., Suite 304
Attention: Louise D’Amato
Providence, RI 02903
You can also send the forms via fax to 401-444-7619 or email at [email protected].
Application forms must be filled out completely by you (the parents) and returned by May 31. Incomplete or late forms will not be considered. We will start processing your application before the provider forms arrive.
Applications are currently not being accepted, but we will update this page as soon as they begin again.
Please fill in as much information as you can before dropping off at provider’s office. Do not wait for these forms to be completed to send in your application. We understand these forms will be returned at a later date. We will start processing your application before the provider forms arrive. Please do not delay.