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Retain Kentucky

Retaining Employment and Talent After Injury/Illness Network

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Referral

If you or someone you know would benefit from RETAIN services, please fill out the referral form below and someone from RETAIN Kentucky will be in contact soon.

Your Name (required)

Your Email (required)

Your Phone Number (required)

Select (required)
I am a Healthcare Provider referring a patient or employer to RETAINI am an Employer referring an employee to RETAINI am an employee interested in learning more about RETAIN (Self-referral)

I agree to be contacted by RETAIN Kentucky in follow up to this referral.

RETAIN Kentucky is funded by the U.S. Department of Labor and the Social Security Administration under a grant award of $21,600,000 to the Kentucky Office of Employment and Training that will be incrementally provided. 100% of grant funding is from U.S. Federal funds. This document does not necessarily reflect the views or policies of the U.S. Department of Labor or the Social Security Administration, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.

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