Thank you for helping connect families with the care and comfort of Ronald McDonald House Charities of Kentuckiana. This referral form is intended for hospital staff to request a stay for new families or returning guests.

If you’re referring a new family, please note they’ll also need to complete a Family Stay Application once this referral is submitted.

Eligibility Reminder

Families are eligible to stay with us if their child is 21 years old or younger and receiving medical care. Additionally, the family must live outside of Jefferson County, KY, as well as Floyd and Clark Counties in Indiana.

A Few Helpful Notes

Please provide the expected check-out date to the best of your knowledge. We understand this is only an estimate. If the length of treatment is unclear, you’re welcome to use a 30-day estimate. Our Case Manager will follow up with the family around that time to check in and extend the stay if needed.

There is no cost for families to stay at our House. For guests who are active Medicaid members, we will handle reimbursement directly.

Your partnership ensures families can stay close when it matters most—thank you.