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Patient & Family Orientation Reservation
If you would like to attend the Patient and Family Orientation in person, please complete this form. Reservations are encouraged, but not required. Patients, family members and caregivers are welcome to attend.
Your Name (if different than patient name):
Patient's Name:
*
Patient's Date of Birth:
*
(ex: mm/dd/yyyy)
Your Phone Number:
*
(ex: xxx-xxx-xxxx)
Your Email:
*
What is your preferred method of contact?
*
Email
Phone
Please choose a session that works for your schedule. A Patient and Family Specialist will contact you to confirm your appointment and provide directions.
Day
Room
Floor
Building
Monday 1:00 p.m.
Owl's Den
1st Floor
Muriel Rothman Building
Monday 3:00 p.m.
Patient Library and Welcome Center
2nd Floor
Muriel Rothman Building, Elevator B
Tuesday 1:00 p.m.
Owl's Den
1st Floor
Muriel Rothman Building
Tuesday 3:00 p.m.
Patient Library and Welcome Center
2nd Floor
Muriel Rothman Building, Elevator B
Wednesday 9:00 a.m.
Owl's Den
1st Floor
Muriel Rothman Building
Wednesday 3:00 p.m.
Patient Library and Welcome Center
2nd Floor
Muriel Rothman Building, Elevator B
Thursday 3:00 p.m.
Patient Library and Welcome Center
2nd Floor
Muriel Rothman Building, Elevator B
Additional information or question: