Pre Surgical Tour Online Registration Form

Thank you for your interest in attending our Pre-Surgical Tour. It is recommended that your child attend the tour the Sunday before their surgery. Please fill out the registration form below. If you arrive later than 15 minutes after the tour start time we cannot guarantee that we can provide you with a tour.

The Sunday tour begins promptly at 2:00pm and we aim to be done with the tour around 3:30 p.m. Please respond to the following questions.

Please Note: Children's National has declared influenza (flu) season and flu restrictions have been implemented. Therefore, we are only able to accommodate patients and two parents, guardians, or designated family caregivers on the Pre-Surgical Tour. Unfortunately, we are not able to have siblings, friends or other family members of any age attend the tour. Additionally, visitors ages 10 and under are not permitted to visit a patient or allowed in inpatient areas during flu season, and thus are not able to attend the tour or come with the patient on the day-of surgery. Children's National does not offer / provide services to care for siblings or other visitors, so families are encouraged to plan ahead. It is important that all participants that attend the tour have not had any flu like symptoms within the past 7 days. Thank you for your attention to this important effort as we work to keep our patients, employees and visitors safe and healthy.

Child Information
*
*
Date of Birth:
Parents/Caregivers Information
*
*
*
*
Surgery Related Information
*
Are they developmentally on target?
*
*
Please note it is recommended that you attend the tour the Sunday before your child’s surgery
*
If the patient is under 3 years old and you plan to bring them on the tour, please have an additional adult accompanying you. If you believe a sibling would benefit from the tour we encourage them to participate.
*
*
Interpreter and language assistance needed:
*
Previous Hospital/Surgical Experience
*
*
*

Children's National in Your Neighborhood

A location marker

Did you know Children’s National has more than 50 locations throughout the region? Find one that’s convenient for your family.

Find a Children's Location Near You