Ronald McDonald House Charities of Oregon & Southwest Washington

     The Following Criteria Must Be Met:



• Patients over 18 and caregiver(s) must pass regular screening criteria.
• Rooms can accommodate a maximum of 6 people.
• Every guest family member (including patient) must pass a health screening to ensure that they are symptom-free.
• Guests (if over 18) must sign "Stay Agreement" prior to check-in.
• The family can function independently in our community living environments.


Please share the following:


  • RMHC staff will reach out to answer any questions within a week prior to arrival about the House if a reservation is secured.

  • All adult guests (18 and older) must present a picture form of identification upon arrival to the House.

  • For the safety of our guests, all adults are screened against the National Sex Offender Registry.

  • All families are placed “first come, first served”. Diagnosis does not change the status of a family on the waitlist. 

  • Screening criteria apply to all adults (including patients) that are 18 or older and who will be staying at Ronald McDonald House (RMHC).

  • Referral questions must be answered by or on behalf of all adults age 18 and older who will or may stay at RMHC within the next year.

  • If one adult in the household does not qualify, it may disqualify the entire family from staying. Contact Staff at 541-318-4950 or bend.house@rmhcoregon.org

  • Referrer must report any change in status that could be inconsistent with these criteria to RMHC. A family may be asked to leave if any criteria become a concern.


1. Is the patient age 21 or younger? OR Is the patient unborn & scheduled for delivery within two weeks? (Requires a fetal therapy letter from provider, scanned and sent to  bend.house@rmhcoregon.org)

2. Are you a parent under the age of 18? (All parents under age 18 must be accompanied by their parent or legal guardian. In certain cases, an adult relative over the age of 25 may substitute.)

3. Is the patient diagnosis contagious? Depending on the isolation protocols, the family may not be eligible to stay due to the diagnosis. Please reach out the house for further information. 

If any answers below are “yes”, or, if parental or domestic abuse is suspected in the patient’s injury or illness, do not refer the family to stay at RMHC* and please notify our staff at 541-318-4950 or bend.house@rmhcoregon.org. *In some cases, only the individual will not be allowed to stay and the rest of the family will still be eligible. 

4. Are you or anyone that will be staying on the National Sex Offender Registry? (Please note our staff do run all party names against this list)

5. Do you or anyone else that will be staying in the house have any condition that could be potentially harmful to yourself or others, including current substance abuse?

6. Have you or anyone in your family been convicted of or are currently facing charges for a felony or violent criminal offense?

7. Are you or anyone in your family currently involved with Child Protection Services or under investigation for child abuse, neglect, domestic violence?

8. Are you party to a current restraining order, protective order or no contact order?

To the best of your knowledge, you are confirming the accuracy of the information above of all patients and guests who will be staying at RMHC and authorize the use and/or disclosure of protected health information from the treating hospital to RMHC for the purpose of accessing RMHC services. Disclosed information may include identifying information, patient diagnosis, reason for admission as well as other information pertaining to the child's medical condition. In order to stay at RMHC, family members must be symptom free of contagious illness.


Hospital Staff Information
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Is the patient 21 years or younger?
Patient Information 
To add additional patients, enter the information in the Additional Guests / Family Members section below and select the ‘patient’ relationship.
Patient Preferred Name
Patient Preferred Pronouns
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For Fetal Care patients, please put the child’s expected date of delivery
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Inpatient - Hospitalized   Outpatient - Non-Hospitalized   Both, during this stay.

Oregon Health Plan OHP Medicaid Information

While Ronald McDonald House Charities RMHC does not charge a fee or ask families to pay for their stay, we do work closely with state Medicaid (Oregon Health Plan OHP, Washington, Alaska, and Idaho State Medicaid) to obtain lodging reimbursement for a family's stay. This funding helps RMHC ensure families can stay at no cost. If the patient is still in utero, the parent's Medicaid information can be entered in.
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Reservation Request
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Appointment Time AM/PM (If there are multiple appointments, please enter in the 1st one)
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Guardian Contact Information

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Guardian Preferred Name
Guardian Preferred Pronouns
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I agree to receive texts at this number.
Do you consent to the guest service team contacting you via text? (message and data rates may apply)
I agree to receive texts at this number.
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Guardian 2 Preferred Name
Guardian 2 Preferred Pronouns
I agree to receive texts at this number.
Do you consent to the guest service team contacting you via text? (message and data rates may apply)
Additional Guests / Family Members

Add Another Guest
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U.S. / Canadian Postal Code lookup


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Additional Information
Please enter the name and phone number of someone who is NOT going to be staying at the Ronald McDonald House.
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No   Yes
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Does the family require an ADA Room?
We will do our best to accomodate, this is not guaranteed. Please reach out to the guest service team to check on availability after you submit your request. Bend.house@rmhcoregon.org.