Request a Profile

Fill out the form below to request a profile on the Nationwide Children's Hospital's website. 

Please read these tips before you begin the submission process: 

  • You cannot save a form draft. Choose a time when you can fill out the form in its entirety, and review the form before you begin. You will need approximately 10-15 minutes to fill out the form. 
  • Marketing may edit your submission to fix grammatical errors and ensure your profile meets brand standards.
  • If you already have a profile on the website, please fill out the Update Your Profile form. (To see if you already have a profile page, please search your first and last name in the search bar in the upper right corner of the website.)
  • If you are currently going through Medical Staff Office credentialing, please contact before requesting a profile.
  • If you would like to have your CV included in your profile, please email a PDF version to You must remove personal information, such as home address, before submission.