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Intake Form

Please fill out the form below with as much detail as possible and be assured the information you provide is kept confidential. 

I have ensured that my little ones sleep environment is safe and in line with SIDS guidelines. I understand the information provided by Just Love Sleep is not intended nor is implied to be a substitute for professional medical advice. I understand as parents we are responsible for our babies safe sleep and Just Love Sleep is not liable in any way.
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