Interested in becoming part of our Team…

Please take a moment and complete the form below to join the
Healthy Start Coalition of Miami-Dade as a General Member!

Please remember: The Coalition accepts financial donations, diapers and new baby clothes year round to provide emergency relief (food, housing and other operational expenses) to pregnant women and infants that are served in the community.

Please note: Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

If you have trouble submitting this form online, you may download a form here and submit via fax: (305) 541-0213 or e-mail:

Home / Personal Information





MEMBER CATEGORIES (please check all that apply)

Fetal and Infant Mortality Review (FIMR) Project of Miami-Dade County: (Two Categories)

Type of Organization You Work for:


Representative of employer/organization