Tour Request

Please complete the form. For more information call 718.862.1793.

Name of Visitor or Group

Department

MECIS Contact

Requested MECIS Tour Guide

Requested Date/Time

How many attending

Connection to Montefiore Einstein Center for Innovation in Simulation

Which member(s) of our team will facilitate the tour

Background:

Departments to Notify

Public Relations Security Development (fundraising)
Environmental Services Specific Clinical Areas

Will photographs/video be taken

Yes No

Will media be present/requested

Yes No