Request a Room

Request a Room
Please note:

We know how important it is for your family to stay together during such a critical time. Please fill out the room request below and we will do our very best to accommodate your family. Please be sure to call us between 8:00-9:00AM on the day of your requested stay to check on availability and confirm your room.Any questions can be directed to Patrice Stillwell, Operations Director at 717-533-4001 x157, or pstillwell@rmhc-centralpa.org.
Today's Date

MonthDayYear
Date
Request Made
Have you stayed at Ronald McDonald House Charities of Central PA before?
If so, when?

MonthDayYear
Date
Patient's FIRST and LAST Name

First NameLast Name
Patient's Date of Birth

MonthDayYear
Date
Is patient currently admitted at Penn State Children's Hospital?
Brief Diagnosis/Procedure
- Name
  
  First NameLast Name
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Email
  example@example.com
- Confirm Email
  example@example.com
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Room Request Arrival Date
  
  MonthDayYear
  Date
- How many nights will you need?
- Please provide guest names, ages, and relationship to patient (include patient if they are staying at the RMH)
- Do you need a crib?
- Do you require first floor or elevator access?
- Should be Empty: