Welcome to the Visit Coordination Information Request Form  provided by Children’s Hospital of Pittsburgh of UPMC.  

Children’s Hospital of Pittsburgh of UPMC is pleased to offer visit coordination services to help make your child’s visit to the hospital easier for your family. We understand the time and effort it takes to schedule multiple appointments, not to mention the expense of traveling to Pittsburgh for an appointment.

To qualify for our visit coordination program you must:

  • live outside of Allegheny County
  • need three or more appointments within the same month
  • be a returning patient to Children’s Hospital

Parent Name:
Best Contact Number:
Email Address  
Preferred Method of Contact: