Welcome Center Request :: Nationwide Children's Hospital

Welcome Center Request for Services

The Welcome Center Concierge Services staff supports the unique needs of patients and families visiting us from out-of-town or out of the country including housing and transportation. Enter the information in the following form in order to request Welcome Center Concierge Services. Input fields marked with the asterisk * are required. Please allow two business days for a reply.

To learn more about the Welcome Center, visit our webpage.

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