Retouching Request:

Medical Affiliates: This form is for UNAFFILIATED Medical and Family only. If you are a NILMDTS Medical Affiliate, please log in to submit a retouching session. We encourage any currently UNAFFILIATED medical providers to learn more about our Medical Affiliation Program to become affiliated as well as earn contact hours.
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To search a location, please type valid postal code or begin typing the location name.
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If you cannot find the hospital you are looking for, please input its name and address in the fields below.
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Baby:

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Parents:

Parent 1

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Parent 2

Contact Info

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Consent Form & Images:

 * Parent consent forms are required for each session. Please download the Retouching Consent Form then scan or photograph the signed form and upload here.
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Images
Submit no more than 30 images for retouching. NILMDTS will not be able to complete requests with more than 30 images. All images MUST be submitted in a high-resolution form. Duplicate or extremely similar poses will be discarded and out of focus images will be retouched to the best they can however some may not be able to be retouched.

Retouching Request Submission Review


Please review this entire form before you submit. Make sure ALL fields with a star ( * ) are filled out and that contact numbers and email addresses do not contain errors. Upon receipt of this submission you will receive a confirmation email. If you do not receive submission confirmation, please check your spam or other filtered folders then contact us. It may take up to 6-12 weeks for retouching.If you need 1-3 images rushed for an upcoming memorial service, please email us with the baby's name and we will do our best to accommodate your request.
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Please consider making a donation to support this additional request.


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Note: Please click Save only once. If uploading large images, it may take up to 5 minutes. Please be patient.
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