I am a professional referring a family for SUDC Foundation Services​ Form

Thank you for reaching out to the SUDC Foundation. Referrals may be made while an investigation is pending and Sudden Unexplained Death in Childhood (SUDC) is suspected. 
A member of our team will be in touch with you shortly. 
 
Take good care. 
The SUDC Foundation

Family Contact Information

Important Note to Professionals: Please provide as much contact information for the family as you have available (phone, email, address). If some details are unknown, you may leave those fields blank.

Contact information for legal next of kin

Child Information

I am the person named above and wish to participate in the SUDC Foundation. I understand that the Foundation provides support, information in relation to research and advocacy, and resources related to sudden unexpected deaths in childhood. I understand that my information will remain private and will not be sold to any third party. I acknowledge that the SUDC Foundation may utilize my anonymous information for the purposes of research. I also acknowledge that the SUDC Foundation may contact me by phone, email, or SMS text message. Message and data rates may apply. I understand that I can opt out of text communications at any time by replying STOP. The SUDC Foundation does not share the SMS opt-in consent with any third-party organizations.
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