Arthritis Foundation Upper Midwest Region - Juvenile Arthritis Welcome Kit

There are many questions and concerns when a child is diagnosed with a rheumatic disease. The welcome care packages ensure that many of these questions are answered and resources are offered. The AFUMR's JA Welcome Kit includes education about juvenile arthritis, medical resources, newsletters, information for teachers and school nurses, information about our juvenile programs and services and more!

Serving kids and teens with juvenile arthritis in Minnesota, North Dakota, South Dakota and Wisconsin!
* required information
Please fill out this information for your child/teen with arthritis!
Child's First Name:*
Last Name:*
Birth Date:*(mm/dd/yyyy)
Gender:* Female   Male  
When did you child receive their diagnosis?:*
Type of Arthritis:*
Rheumatologist or Doctor Name:*
Parent/Guardian Name:*
Sibling Name(s):*
Address Line 1:*
Address Line 2:
ZIP/Postal Code:*
Additional Information:
$0.00 Free Welcome Kit

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