Update Your Profile :: Nationwide Children's Hospital

Update Your Profile

Please fill out the form below to request updates to your current profile on the Nationwide Children's Hospital's website. If you have any questions, please contact NewMedia@NationwideChildrens.org.

If you would like to have your CV included in your profile, please e-mail a PDF version to NewMedia@NationwideChildrens.org.

To find the link for your current profile, visit the "Find a Doc" section of the Nationwide Children's Hospital website.

*=Required field

Updated Information Form
First Name *
Middle Initial *
Last Name *
E-Mail Address *
Professional Title (MD, DO, PT, etc.)
Appointment Date
Office Address
City
State
Zip Code
Office Phone
Office Fax
Link from your current Nationwide Children's Hospital Profile (Go to your profile, the link can be found at the top of the page.) *
Professional Biography - (A brief paragraph about your work, written in the third person. Please limit to 200 words or less.)
If you have an OSU ID, your publications will be pulled directly from Research in View (RIV).
OSU ID
If you DO NOT have an OSU ID, please enter the PubMed IDs of your publications below.
Publication 1 (Please provide PubMed ID only)
Publication 2 (Please provide PubMed ID only)
Publication 3 (Please provide PubMed ID only)
Publication 4 (Please provide PubMed ID only)
Publication 5 (Please provide PubMed ID only)
Should you want to include more publications, please e-mail NewMedia@NationwideChildrens.org
Education Type
School Attended
Graduation Date
Education Type
School Attended
Graduation Date
Previous/Current Experience 1 (Location and Title)
Years Employed
Previous/ Current Experience 2 (Location and Title)
Years Employed
Languages Spoken
Professional Memberships (Organizations, Titles, Years Involved)
Awards Received (Award Name, Year Received)
Practice Website
NPI Number
Clinical Areas of Interest
Research Areas of Interest
Personal Areas of Interest
Research Funding (Description and Funding Source)
Photo
If you would like an updated photo, please email Kristy Smith, Kristy.Smith@NationwideChildrens.org, in Medical Staff Photography.
Additional Information
If you would like to update any additional information, please email the New Media account at NewMedia@NationwideChildrens.org.
Nationwide Children's Hospital
700 Children's Drive Columbus, Ohio 43205 614.722.2000