Ronald McDonald House Charities® Atlantic

Room Request

Our Ronald McDonald House
When sick children need their families close by, our House is their home.

Request Information

Please ensure all mandatory fields are completed with as much information as possible. For Healthcare professionals, if you are unsure if a family has stayed with RMHC Atlantic before please indicate No for returning family. Mandatory fields are indicated in Red.

Patient Information

Please be advised that online requests are for patients under the age of 19. Should the patient be between 19-21 years of age and remains a dependant please contact the house at 902-429-4044.
For multiple patients, please click on the Add Patient button

This information is used for the purpose of gathering diversity statistics to enable us to better serve all families who access our programs, as we strive to provide families with the best support possible.

Medical Information

To help us identify how best to meet the patient/family needs, please complete the medical information below.

Caregiver / Guardian Information

All caregivers must be, at minimum, 18 years of age

Other Guests

RMHC Atlantic can support up to 4 individuals (including the patient(s) and caregivers) per room.

Primary Address

Primary Contact Information

Special Requests

RMHC Atlantic will make every effort possible to accommodate all requests when possible.

Vehicle Information

If you are unsure of the requirement for parking please indicate No.

Additional Notes

Please provide any additional details that allow RMHC Atlantic to best support you during your stay.
If you are a first time family to RMHC Atlantic please list your social workers name and telephone number below.
By clicking the SUBMIT button below you are confirming that all information entered is accurate.