We can schedule sitters per your request. Please allow sufficient time for sitters to be contacted and prepared to arrive at the hospital. 

Request a Hospital Sitter

To request a Hospital Sitter please complete the form below. Then email your service authorization form or referral information to us at info@css-tx.org. We will contact you as soon as possible to set up services.

Requester's Name *
Requester's Name
Phone *
Phone
Section
Child's Name *
Child's Name
Service Start Date
Service Start Date
List the estimate date the child will be released from the hospital.
List the hospital name, address, and city.
Please provide a summary of the child's condition and any additional information.