Request a Child Life Specialist

 

Child life specialists are experts in child development and help improve the healthcare experience for children and families. Child life specialists focus on each child’s emotional and developmental needs to help him or her feel more comfortable in the healthcare setting. A child life specialist can assist in explaining a condition to a child, sibling, or peers, prepare a child for surgery or procedure, provide therapeutic play to help a child cope with their illness, and provide resources and emotional support to patients and their families. If you would like to speak to a child life specialist about your child, please use the form below to submit a request.

Request a Child Life Specialist

Requestor's Information

Please confirm that the child in question is a patient of the University of Chicago Medicine. If this child is not a current patient, they will not be eligible for child life services at UChicago Medicine or Comer Children's Hospital.
What is your relation to this child?

Patient's Demographics

Does this child have siblings?
Please use "y" to indicate age in years and "m" to indicate age in months.

Medical History

Please describe any surgeries, hospital admissions, procedures, etc. your child may have had as treatment for the diagnosis indicated above.

Child Life Services

What types of supports are you looking for to help your child and/or family?
Would you like to have a child life specialist at your child's next appointment?
If not requesting a visit at an appointment, would you like to receive a phone call from a child life specialist?
What time is the appointment?
:

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