Please fill out this form to request use of the Center.

Request the Facility
Address *
Address
City
State/Province
Zip/Postal

Session Information

Start Time *
:
End Time *
:

Equipment Information

Machines and Transducers

Manikins

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

Please check for Gender Preference

Room Configuration

Stations Needed (Room Layout Below) *
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HFL38x
HFL38x
P21x
P21x
L25x
L25x
p10x
p10x
C11x
C11x
ICTx
ICTx
ICTx
ICTx

Room Layout