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Refer a Patient

Refer a patient to the International Patient Care and Education program at Cincinnati Children's Hospital Medical Center.

PDF You can download a referral form in portable document format (.pdf). Completed referral forms should be faxed or emailed to Cincinnati Children's International Patient Care and Education, fax 513-803-0903 or email international@cchmc.org.

After submitting this form, please be prepared to send the child’s complete medical records translated into English.

Contact International Patient Care and Education