Strong Beginnings - A federally funded Healthy Start Program > Enrollment Information

Giving birth to hope and a future

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Enrollment Information

P

Request for Information

We enroll:
- Pregnant women and their partners
- Who live in Kent County
- Are Medicaid Eligible
- Have a child under four months of age
Our focus is on pregnant African American and Latino women.

If you would like information about enrolling in Strong Beginnings please fill out the information below.

This information is confidential – it will be sent to a secure e-mail and will not be made public
Name
Email
Phone
Area Code
Alternate Phone
Area Code
Birthdate
Month - Day - Year
Gender
Male
Female
Gender Non-Conforming
Primary Language
English
Spanish
Other (Please Specify)
Other Language

Address

Street Address
Street Address 2
City	Region
Postal Code	Country

Are you or your Partner
Pregnant
Parenting a Child
How old is the child?
Are you, your partner or your child currently enrolled in a home visiting or family support program?
Yes
No
If yes, where?

If you would like to enroll and mail in, please fill out attached form here and send to: Strong Beginnings 751 Lafayette St. NE, Grand Rapids, MI 49503.

Strong Beginnings | 751 Lafayette St. NE, Grand Rapids, MI 49503
ph.616.391.3940 | fx.616.742.1015
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This website was developed by Strong Beginnings and is partially funded under the Health Resources and Services Administration, Maternal and Child Health Bureau grant #H49MC03591.

Strong Beginnings - A federally funded Healthy Start Program