Ronald McDonald House Charities of Kentuckiana

This hospital referral application is to be completed by referring medical staff who are requesting stays for new families or returning guests in which their last stay was more than 30 days ago. 


As a reminder, families are eligible to stay who have children ages 21 years or younger receiving medical treatment that live outside Jefferson County, KY and Floyd and Clark Counties, IN. 



A few additional reminders:


Please complete the expected check out date to the best of your knowledge. We understand this is just an estimate. If you are unsure of the term of medical treatment, please put 30 days out in which our case worker will follow up at that time for an update. 



There is no cost to stay at our House. We will process Medicaid reimbursment for those patients who are active members.