* Is the patient receiving care 21 years of age or younger?
* Do you live in Jefferson County KY, or Floyd/Clark Counties of Indiana?
* Have you stayed at RMHC Kentuckiana in the past?
* If yes, Have you stayed in the last 30 days?
* Please confirm you understand that room availability changes daily. Completing online registration does not guarantee a stay.
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Does anyone in the family have any food allergies? If yes please list their name, age, and the allergy.
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