Hospital Order Form

Hospital Order Form

Thank you for using the Second Stork online order form. This form allows us to insure accuracy and timeliness in supplying hospitals with critical care items for parents in need. Note: * indicates a required field. All order quantity boxes require completion (even if order quantity is "0"), then simply hit SUBMIT. A volunteer will be in touch soon regarding your delivery.

Please note when selecting the delivery method, you can choose to have your order picked up at our warehouse 24/7 at 130 Eva Street in Saint Paul (across the river from downtown) by finding a co-worker or community volunteer to pick up your order. In this case, our volunteers can have your order ready generally within 72 hours. If you would like Second Stork to find a delivery volunteer, it can take us a bit of time - usually up to two weeks within the seven-county metro area and possibly as long as a month in other areas. If you have any questions, please contact us at deliveries@secondstork.org

Items Requested

(Insert quantities. All fields required.)

Diaper Bags of 100 diapers, wet wipes, and related items

For parents with limited or no financial resources to secure a supply of diapers and wet wipes for their newborn's first few weeks. Specify the quantity of sizes you prefer below.  Total number of bags may not exceed 20.
For babies under 5 lbs
For babies 5-8 lbs
For 8 lb and larger babies

Clothing sets include one t-shirt, one sleeper, one receiving blanket, and a cap.

For parents with no clothing for their newborn as they leave the hospital. Supply is limited and most hospitals report that typically the number of parents that have no newborn clothing is less than half the number that need diapers. Specify the quantity of sizes you prefer below. Total number of sets may not exceed 6.
Generally for babies under 5 lbs
Generally for 5-8 lb babies
Generally for 8 lb and larger babies
For hospital staff to keep on hand to distribute as they deem appropriate. Maximum of 2.
For hospital staff to keep on hand to distribute as they deem appropriate. Maximum of 2.
Quantities are very limited. Please order only the number that corresponds to parents that would have NO other option or resource to secure a safe place for their newborn to sleep. Based on our past order history with hospitals across the region we serve, the number of parents in this situation is MUCH smaller than the number of parents that cannot afford diapers and appreciate the bag of 100 diapers. Maximum of 5.
For hospital staff to keep on hand to distribute as they deem appropriate. Same as the English book included in every diaper supply bag, but written in Spanish. Comes in sets of 2 books each with a brochure. Maximum of 6 sets.
If you have additional information regarding this order for Second Stork, please note above.

Delivery

Contact Information

Contact information about this order
Sending