Thank you for your interest in referring your patient to PATCH (Patient Assistance Team at Children’s Nebraska). Please submit this HIPAA compliant form and a member of our Child Live Services team will reach out to the parent/guardian to create the Adaptive Care Plan. We will also keep you informed of the status of the referral.
Contact Us
For general questions or feedback, you can send an email to [email protected], reach out to the PATCH Program Coordinator [email protected]; or call 402-955-5400 and ask to speak Dr. Patricia Sullivan in Behavioral Health.
For questions regarding a specific PATCH patient or Adaptive Care Plan contact Child Life Specialist, Rob Harding, [email protected] 402-955-3594; or Child Life Supervisor, Nikki Walker, [email protected], 402-955-5322.