UH Translational Health Science Simulation Center
To schedule a tour or room at the University of Hawaii Translational Health Science Simulation Center, please fill out the form below.

We will contact you within 5-7 business days from the date your request has been received.

Please note that your request must be submitted at least (2) weeks prior to your requested date(s).

Name of Requestor
Your Name
Your answer
Affiliated Agency
(e.g. UH Nursing Faculty, Washington University, etc)
Your answer
Requested Scheduling Date & Time:
If you would like to list a range of dates/times,
Date & Time Start:
MM
/
DD
/
YYYY
Time
:
Date & Time End:
MM
/
DD
/
YYYY
Time
:
Type of Request:
Please choose from the following choices:
Required
Objective(s) for Tour or Room Request:
Your answer
Number of Participants:
How many people will be attending?
Your answer
Contact name:
Your answer
Contact's Email Address:
Your answer
Contact's Phone #:
Your answer
Comments:
Your answer
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