Refer A Child

Saving Lives During the Pandemic - Download Our 2020/21 Annual Review

As an international charity dedicated to helping children with congenital heart defects, we encourage parents who suspect their child has a heart ailment to contact their local paediatric cardiologist so that their child may be properly examined. Chain of Hope receives hundreds of requests per year for assistance from parents, hospitals and interested humanitarians. Your request will be properly examined by our team and discussed by our medical board, once we receive all medical data, such as ECHO report and images, X-Ray, clinical report and ECG.

Referral Form

Name of child *

Age of child *

Country in which child is located

Profession of child's Mother

Profession of child's Father

Name of person referring child *

Email address of person referring child *

Phone number of person referring child *

Diagnosis *

Name of doctor / referring hospital *

Supporting documents

Please upload the following medical files for the child, ECHO report and images, X-Ray , clinical report and ECG.

Saving Lives During the Pandemic - Download Our 2020/21 Annual Review

Refer A Child

Referral Form

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