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Housing request

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Housing request form for burn & trauma families.

If you have traveled to Hennepin Healthcare in Minneapolis or Region’s Hospital in St Paul with/for an immediate family member who is a patient in a Burn Unit, you can request FREE temporary housing.

We have one-bedroom suites for up to 2 adults (and up to 2 children under 18 years of age).

  • A $250 Damage Deposit is required on Check In day and can be paid by Check or Credit Card. This will be refunded if your suite has passed an inspection on your last day in housing.
  • All dependents who are 18 years and older will have to pass a background check to access or sleep at the Healing Center.
  • All dependents who are 13 years or younger must be supervised by an adult at all times in the suite and in the common areas of the Healing Center.
MM slash DD slash YYYY
Hospital Location(Required)

Adult 1 Information

Adult 2 Information (if applicable)

Demographics

Your responses to these demographic questions helps Firefighters For Healing understand the people we are serving and may allow us to pursue additional areas of funding to best serve the needs of our constituents. All responses are private, are not used for discriminatory purposes, and will not affect your housing intake application.
Are there Americans with Disabilities Act needs?
Race of patient
Is the patient a veteran?
This field is for validation purposes and should be left unchanged.

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logo firefighters for healing white
630 Portland Ave Suite 200
Minneapolis, MN 55415

Mailing: Firefighters For Healing
PO Box 374, Champlin, MN 55316

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501(c)(3) TAX EXEMPT STATUS
EIN# 80-0717709
Est. 2010
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