Permission Request Form
Hello and thank you for your interest in our materials!
In order to process your permission request, we need specific information about your organization and your intended use of our online health information.
Please review our Terms of Use, and Privacy Policy, then completely fill out and submit the permission request form below. Please allow 21 days for a response to your request.
Items marked with an asterisk * are required.
If you have any questions, comments, or difficulties with this form, please e-mail cywh@childrens.harvard.edu.


