Turn a Page. Touch a Mind.®
Early Literacy Program
Application to become a site
This is an application of request to the Kansas Pediatric Foundation (KPF) to become a Turn a Page. Touch a Mind®. (TAPTAM) literacy site in Kansas. KPF is the charitable arm of the Kansas Chapter, American Academy of Pediatrics, and provides funding to TAPTAM sites so that they can distribute books at wellcheck visits from newborn through 5 years old. The information provided below will be presented to the KPF site selection committee for review. New site approvals are based on location, funding available, Medicaid/Medicare population served, and number of children served. Contact Michelle Horst at (913) 398-3388 or michelle.horst@kansasaap.org if you have questions. 
Type of Practice: *

Insurance Coverage Information (Percentages need to total 100%) 

Family Practice Applicants: complete the insurance percentages for your pediatric patients only not for your entire practice. 

Signature of Physician Champion *
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