Song Request

Radio Lollipop Song Request logo

If you know someone who is in hospital and has access to Radio Lollipop, you can request their favourite song be played by completing the simple form below. We will do our best to play it on the date you specify but we cannot guarantee. If you are not sure of the name of the song simply put a type of music instead.

    Select the location of the hospital:

    Patient's Name


    Date to play request

    First song request

    By Artist name

    Alternative song request

    By Artist name

    This request is from

    Special Message