Go to the Ronald McDonald House Charities of Greater Cincinnati website.
Reservation Modification Form
*
Patient Name ( First and Last )
*
Patient Date of Birth (MM/DD/YYYY)
*
Guardian/Caregiver Name (First and Last)
*
Primary Phone Number
Do you want to cancel your confirmed reservation?
Please select a response
No
Yes
Reason for reservation cancellation:
Cancelled appointment
No longer need room
Please select a response
Appointment Canceled or Rescheduled
No Longer Need Room
Other (type answer below)
Other reason(s) for cancelling request:
Modify check-in and/or check-out dates
If you want to modify the dates of your waitlisted/confirmed reservation please enter in the comment box your new check-in and check-out dates.
(You can only request a check-in date that is within the next 30 days, anything further, you will need to wait and go online to request new dates once the 30-day window opens.)
Help Request Sent
Ok
Make sure the information below is complete and correct and click submit. Someone from the Ronald McDonald House will contact you.
Name of person completing this form
Patient Name ( First and Last )
Phone
Email
Submit
