Global Patient Services Hotel Request Form

If you would like Global Patient Services to facilitate your hotel reservation, please fill out the information below. Global Patient Services has a relationship with many area hotels and may be able to get you a reduced rate. View our list of hotels. Please note: Global Patient Services cannot guarantee availability at each location. You must fill out the form below to book through Global Patient Services and receive the discounted rate.

Please note: If you have questions or need assistance weekdays between the hours of 8 a.m. and 4 p.m., call (614) 355-3450 option 1. You may also email us at

Fields marked with the asterisk * are required. After submitting this form, you will receive an email with a link to book a hotel room at a discounted rate.