STAR Center at Cleveland Clinic Children’s

STAR Center at Cleveland Clinic Children’s Outpatient Center

Registration and Consent

This form can be used to request a reservation for up to 3 children. This form is encrypted, so your personal information is safe. Please read our complete eligibility requirements and STAR Center guidelines before requesting a reservation.

Download the STAR Center Guidelines (PDF) here.

IMPORTANT: Please print and complete this children’s health screening and bring it the day of your appointment.

Fill out my online form.