Applicants Information

1. Use Patient's Parent address as the return address on the envelope.

2. Write at the bottom left corner of the envelope "Patient Application"

3. Good idea to include but not necessary to send in with the application.  Copies of ....

a) Birth Certificate

 b) Social Security Card

c) Health Card (Yellow card with all the vaccination records)

d) Insurance Card (If you have one)

4. Mail Application to.

Shriners Hospital for Children

2425 Stockton Blvd.

Sacramento, CA 95817

Noble Giving the Application

1. Give the parents the completed application and addressed envelope to the parents to mail.

DO NOT MAIL IT YOURSELF

2. Do not keep any information on the patient.