RHIC Simulation Center Event Request Form

We are excited to serve you and your participants!

Please complete the following form for each event you would like to schedule at the Simulation Center.  Submission of this form does NOT indicate that your request has been accepted.  A member of the Sim Center Staff will contact you with more information and confirmation of the event.  Each question assists the team in determining the possibility of scheduling your event.  Please complete the form to the best of your ability.  If this is your first time scheduling a simulation or if the simulation you are requesting is new, please complete the form and schedule a planning meeting.

For more information or to schedule a meeting, please contact:

Brandi Sharp, RN

Clinical Simulation Specialist

Standardized Patient Coordinator

812-238-4818

brandi.sharp@therhic.org


EVENT REQUEST FORM


Have you ever facilitated simulation at the RHIC Simulation Center? *
Has the event you are requesting ever been completed at the RHIC Simulation Center? *
Will your event require the classroom (events with >12 participants present at the same time)? *
Does your event need recorded? *

The RHIC

 


Rural Health Innovation Collaborative

1606 N 7th Street

Terre Haute, IN 47804

(812) 238-4625

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