Online Form

Request an Appointment

This form should NOT be used in a medical emergency. If you are experiencing a medical emergency, call 911 or your local emergency access provider.

For Healthcare Professionals

To refer your patient to Cincinnati Children's, visit Physician Referrals.

Option 1: Schedule via Phone

Appointments can be made by phone at 513-636-3200:

  • 7:30 am - 6 pm Monday through Thursday
  • 7:30 am - 5:30 pm Friday

Option 2: Request an Appointment Online

You can also request an appointment using the form below. A representative will contact you within three business days to complete the scheduling process.

Doctor's Clinics
Division(s) Scheduling with:
Division(s) Scheduling with (from bio):
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Contact Information
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Patient Information
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