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Cleft Care Kits

Is your child scheduled for a cleft-related surgery? If so, apply for a Cleft Care Kit today!

If possible, please apply at least one month prior to surgery. Cleft Care Kits include age-appropriate activities and comfort items for children and teens after surgery. Each kit is made uniquely based on the age, gender, and surgery of the child.

At this time Austin Smiles Cleft Care kits are only available to children in Central Texas ages newborn - 18 years of age

Contact Information

Name of Legal Guardian

First Name

Last Name

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Verify Email

Cleft Care Recipient Information

Name of child

First Name

Last Name

Age of Child

Please note your child must be undergoing cleft surgical care in Central Texas to be eligible for a Cleft Care Kit

Child's Race/Ethnicity

Native American

Asian

Black/African American

Middle Eastern

Native Hawaiian/Pacific Islander

Hispanic/Latino

White

Other

Language(s) spoken in the home

Name of Surgeon

Surgery Type

Please note your child must be undergoing cleft surgical care in Central Texas to be eligible for a Cleft Care Kit

Access to Services

Has your child been to an Austin Smiles local event before? If so, which event and what year?