top of page

Advocacy, Education, Prevention, Services, and Support

Home
Contact
About Us
Brain Injury Prevention
- Helmet Give-a-Way Program
Donate and Support
- Donate
- Kroger Community Rewards
Get Connected
Brain Injury Conference
- 2025 Brain Injury Conference
- Past NKY Brain Injury Conferences
Resources
More

Use tab to navigate through the menu items.

First name*

Last name*

Email*

Phone*

Birthday*

Month

Day

Year

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Occupation (Current)

Occupation (Former, if different)

Education Level

What is your role?*

Brain Injury Survivor

Caregiver

Why do you want to be a Peer Support Provider?*

Do you have previous experience providing support? If so, please describe.*

Briefly describe your or your loved one's brain injury journey.*

Are you willing to consent to a background check?*

Yes

No

Contact Us

Lauren Ledford

Cell: 859-379-8230

Brain Injury Alliance of Northern Kentucky, Inc

Business/Charitable Donation Address:

PO Box17031

Lakeside Park, KY 41017

Privacy Policy

bottom of page