Yukon Baby Basket Project referral form

By signing this referral, I confirm:

1. I’ve obtained consent from my patient/client to submit this referral on their behalf to the Baby Basket Project for the purpose of receiving a baby basket.
2. I have informed my client that the program will contact them directly regarding the delivery or pick-up of their baby basket.
3. My client meets the following eligibility criteria:
   • Is a Yukon resident.
   • Is in their third trimester of pregnancy (>28 wks. gestation) or families with a new baby up to 2 months old.

Find out more about the Yukon Baby Basket Project