For Medical & Social Work Providers
Refer a Family to Us
Are you a healthcare provider, social worker, or case manager working with a family experiencing diaper need? Submit a referral and we'll connect them with free diapers — quickly and with dignity.
Quick & Simple Process
Complete this short form and we'll reach out to the family within 1–2 business days. Urgent cases are prioritized same day.
Confidential & Respectful
All referrals are handled with complete confidentiality. Families are never required to share financial documentation.
No Eligibility Barriers
We serve any family in the Lakes Region in need — no income verification, no paperwork, no judgment.
Community Partnership
We partner with pediatricians, hospitals, WIC offices, visiting nurses, and social service agencies across NH.
Provider Referral Form
All fields marked * are required