We will reach out to confirm availability with guests and to arrange a reservation. Room availability at Kathy's House is limited. Submitting this referral is not a guarantee that we will have a room available during the selected timeframe. Please call 414-453-8290 with any issues or questions. Thank you!
PLEASE NOTE:
* If you do not know the departure date please enter a best estimate.
* If the patient is unable to provide consent to submit the information below, do not submit this form. Please call Kathy's House at 414-453-8290 with the name and contact information of the primary caregiver. We will reach out to the caregiver directly.