Boston Children's Hospital Ombuds Office Visit Request Form
Visit Request Form
Request an appointment with the Ombuds using this secure and confidential form. Alternatively, call us on (617) 355-2865. Please note, it may take a day or two for us to reach out
Non-US phone number
Personal cell phone or non-work number
Confirm Phone Number
When should we call you back?
(we will try our best to reach you at your preferred time)
Weekday morning (8-10 am)
Weekday midday (10 am-1 pm)
Weekday afternoon (1-4 pm)
Weekday late afternoon (4-6 pm)
Enter the best day and time for us to call (including weekends between 8 and 5 pm and weekdays between 6 am and 10 pm)
Okay to leave voicemail?
How do you prefer to meet with us?
--- Select ---
In-person (1 Autumn Street, available on Tuesdays and Thursdays)
In-person (BCH locations outside of Longwood area)
Your comfort and ability to fully express yourself is important to us. What should we know or have in place to ensure that? (i.e., interpreting services, closed-captioning, no overhead lighting, an ombuds with a certain gender expression)