Request the Facility

Name *

Department *

Address *

Address

City

State/Province

Zip/Postal

Email *

Session Information

Title/Elective Number/Name: *

Date *

Start Time *

End Time *

Number of Students *

Equipment Information

Machines and Transducers

MTurbo Machine (Qty 9) *

HFL38x - CIMT, Musculoskeletal, Nerve, Small Parts, Vascular, Venous (Qty 9) *

P21x - Abdominal, Cardiology, Obstetrics, Orbital, TCD (Qty 9) *

L25x - Small Musculoskeletal, Nerve, Ophthalmic, Superficial, Vascular, Venous (Qty 9) *

P10x - Neonatal head, Ped. Abdominal, Ped. Cardiology (Qty 4) *

C11x - Abdominal, Cardiology (Vet.), Neonatal, Nerve, Vascular (Qty 2) *

ICTx - Gynecology, Obstetrics (Qty 3) *

C60x - Abdominal, Gynecology, Musculoskeletal, Nerve, Obstetrics (Qty 9) *

Manikins

Blue Phantom Spinal Epidural and Lumbar Puncture Modell (Qty 2) *

Blue Phantom Midscapular Thoracentesis US Training Model (Qty 4) *

Blue Phantom Gen II US Central Line (Qty 3) *

Blue Phantom Intrauterine and Ectopic Pregnancy Transvaginal Model (Qty 4) *

Blue Phantom Branched 4 Vessel (Qty 5) *

Blue Phantom Femoral Vascular Access Torso Model with Auto Pump (Qty 2) *

Simulab CentraLineMan (Qty 3) *

Simulab FemoraLineMan (Qty 2) *

Simulab Paracentesis Model (Qty 4) *

Simulab Lumbar Puncture Epidural (Qty 2) *

Simulab Deep Vessel Venipuncture Pad (Qty 5) *

Simulab IV Bag - Adult (Qty 2) *

Simulab IV Bag - Pediatric (Qty 5) *

Standardized Patients (Please allow at least three (3) weeks to request through the Clinical Skills Center.)

Number Needed *

Please check for Gender Preference

Male

Female

Room Configuration

Set-up Instructions

reCAPTCHA