Welcome


Have you stayed at Ronald McDonald House Charities of Greater Cincinnati in the past?
If yes, have you stayed in the past 2 years?

Patient Information


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Inpatient - Hospitalized   Outpatient - Non-Hospitalized   Both, during this stay.

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Enter Zip Code:
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Guardian Contact Information


Please enter information for the guardian(s) who will be staying at RMHC.

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Additional Guest(s) Information


Will there be any additional guests at the House throughout your stay? Please enter their information below (siblings, aunts, uncles, cousins, etc).
Additional Guests / Family Members

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Add Another Guest

Additional Information


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Family’s method of transportation to the hospital or our house?
Will you have a vehicle on premises?
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Which of these describes your total household income? (Note: This information is only used in securing funding for the House.)
* Do you have Medicaid?
Do you have Private Insurance?
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If Private Insurance, who is your insurance provider? (type N/A if you do not have private insurance)
If there are no other rooms available, would you be able to accept a room with only 1 bed?