Contact Information

First tell us your name and how we can reach you:

About Your Child

Next, tell us just a little about your child:

Thank you! A specialist from the Brachial Plexus Center at Cincinnati Children's will be calling you soon.

This form is on a secured area of our web site. The information you submit will only be used by the health care professionals at Cincinnati Children's to provide you with the information you need. It will not be shared with anyone outside of Cincinnati Children's.