Domestic Medical Inquiry Form

If you are interested in learning more about our services or have a question about your child’s health, please complete the form below. Our team will be happy to connect you with a Nationwide Children's expert to get you the information you need.

Please note: If you are not the parent or legal guardian of the child for which you're inquiring, we will need a signed consent form prior to communicating about the child.

If you have difficulty completing this form, please contact us at

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Patient Information


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Thank you for your medical inquiry

Thank you for contacting Nationwide Children's Hospital.  We will reply to your message within 3 business days.

We are sorry, it appears that your request did not go through. Please call the Welcome Center at 800-863-0469 during the following hours 8:00 a.m. to 5:00 p.m.