Kentucky Children's Hospital Group Visits

Application for community groups wishing to visit patients

Please review the following guidelines for group visits.  Once you have finished, click the box to acknowledge that you will comply with the hospital guidelines.

I understand that:

  • completion of this application does not guarantee that my group will be able to visit the children’s hospital.
  • all members of my group must be in high school or older.
  • no one should enter the hospital if he/she has any signs or symptoms of illness.
  • we cannot take pictures of the patients.
  • we must follow the instructions of the hospital staff person escorting us through the hospital.
  • activities cannot promote one religion.
  • if gifts or prizes are distributed we must provide enough for all children.
  • media coverage is discouraged. If requested, reason has been provided and UK HealthCare public relations have been contacted.
Yes, I have reviewed the information and can comply with the guidelines.

Contact Information

Items marked with an * are required information.

 
 
characters left. 
   
   
   

State:  

   
  (000)-000-0000
   
   

Planning information

Possible dates/times:

Description of proposed activities/visit:

Do you need assistance from us? 

Click the button below to submit completed form.


If you have any questions please contact Judi Martin, Child Life Coordinator, 859-323-6551 or jamart8@email.uky.edu.

You can also print out this form and mail it here:

Attn: Judi Martin, Child & Family Life Coordinator
Kentucky Children’s Hospital
Room HA 444
1000 S. Limestone
Lexington KY 40536-0293