Ronald McDonald House Room Request :: Nationwide Children's Hospital

contact info

Ronald McDonald House
711 E. Livingston Ave.
Columbus, OH 43205
Phone: (614) 227-3734
Fax: (614) 227-3765


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Ronald McDonald House Room Request

If you or someone you know would like to stay at the Ronald McDonald House Columbus, please complete the below request form.

Information for Accommodation Planning

  • To request a room, the patient must reside outside Franklin County.
  • Every adult must present a photo identification upon arrival.
  • Maximum of 4 per room, one room per family.
  • Parent/guardian of all children must be present and over the age of 18 years old.
  • On-site parking is provided, free of charge.
  • Dinner is provided daily, in addition to other meal options.
  • In order to continue providing this vital service, a $20 donation is requested for each night of accommodations.
  • RMHC cannot accept anyone with a conviction or on-going investigation for domestic violence or sexual abuse.
  • RMHC reserves the right to refuse admittance to anyone who is currently on probation, parole, has been convicted of a felonious crime or any of the following:
    • crime of theft
    • crime of violence/domestic violence
    • crime against a child
    • crime involving illegal substances
Ronald McDonald House Room Request Form
PATIENT INFORMATION
Medical Record Number
First Name *
Middle Initial
Last Name *
Date of Birth *
Address 1 *
Address 2
City *
State *
Zip Code *
County *
Phone Number *
Name of Custodial Guardian *
Date of Accommodation Needed *
Expected Number of Nights Needed *
Patient's Hospital Unit *
Handicap Accessible Accommodations Needed *
Previous Resident at Ronald McDonald House Columbus *
Name of Referral Source *
Referral Source Contact Phone Number *
GUEST INFORMATION (for all persons requesting accommodations)
First Name *
Last Name *
Date of Birth *
Relationship to Patient *
First Name
Middle Initial
Last Name
Date of Birth
Relationship to Patient
First Name
Middle Initial
Last Name
Date of Birth
Relationship to Patient
First Name
Middle Initial
Last Name
Date of Birth
Relationship to Patient
Has anyone requesting accommodations been charged/convicted of a crime of violence, theft, domestic violence, child abuse, illegal drugs or a misdemeanor/felony of any kind? *
If yes, please indicate date and type of infraction.
Is anyone planning to stay at RMHC currently on probation or parole? *
I acknowledge *
that each adult listed above was notified that a background check is conducted on all individuals requesting accommodations.
Electronic Signature *
Nationwide Children's Hospital
700 Children's Drive Columbus, Ohio 43205 614.722.2000