PHC Simulation Booking 2024
Welcome to the PHC Simulation Booking sheet! 

While we do our best to accommodate all simulation booking requests, it becomes increasingly difficult without sufficient ahead notice. Please follow the instructions below to ensure your booking runs smoothly.
  1. Submit your request at least 1 week prior to the date of the simulation
  2. Fill out all required questions, and add any additional details or comments to the last section
  3. Once you have submitted your sheet, wait for a confirmation reply from John
  4. After booking is confirmed, be sure to update John of any changes/cancellations with as much notice as possible
*For after hours bookings (outside of Monday-Friday, 7:00am-4:00pm) please contact John (he/him) at jbonilla@providencehealth.bc.ca to request and coordinate*

If you have difficulties or questions, please contact John (he/him) at jbonilla@providencehealth.bc.ca.
Sign in to Google to save your progress. Learn more
Email *
What is the educator's name? *
Phone Number

*
What is your office room name/number? *
Which unit are you booking from? *
Which location are you booking for? *
Which simulator will you need? *
Please indicate if you need fluids to be added to the simulator (eg, simulator blood/tears)
What date are you booking for?

*For after hours bookings (outside of Monday-Friday, 7:00am-4:00pm) please contact John (he/him) at jbonilla@providencehealth.bc.ca to request and coordinate*
*
What is the start time? (Note: keep in mind set up, transport, and travel time. John generally recommends at least 1 hour for set up) *
What is the end time? *
Where will the simulation be held? Provide room number, floor, building and site *
How much technical support will you be requiring? *
Required
What is the expected number of participants? *
Paste a link for case/scenario to be programmed.
What is the sim type you are booking? (e.g. Mock code blue) *
Do you need any additional equipment?
Any additional comments?
Please ensure the attendance sheet is filled out and returned back to John after the simulation session. The same can be found here https://sim.providencehealthcare.org/services/book-a-sim/ 
*You hereby acknowledge that you will submit the participant sign in sheet to John once the session has been completed. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy