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