Welcome Center Request :: Nationwide Children's Hospital

Welcome Center Request for Services

The Welcome Center provides services and accommodations to families traveling from out-of-state or from two hours away. Enter the information in the following form in order to request Welcome Center Services. Input fields marked with the asterisk * are required. Please allow two business days for a reply.

To learn more about Welcome Center Services, download our brochure.

Welcome Center Request Form
Patient Name *
Patient Phone Number: *
Date Of Birth (mm/dd/yyyy): *
Address:
City:
State:
Zip Code:
Type of Visit: *
Department/Specialty: *
Email Address:
Insurance Company: *
Insurance Phone Number: *
Member ID: *
Date of Hotel Arrival (mm/dd/yyyy) *
How many nights?
How many adults?
How many children?
Your Name: *
Your Relationship to Patient: *
Nationwide Children's Hospital
700 Children's Drive Columbus, Ohio 43205 614.722.2000