Complete your online request and click on SUBMIT.
Please complete this form, being sure to include information for all persons requesting to stay. All persons over 18 must have completed answers for the "Yes/No" questions in section 3. All fields marked by an asterisk (*) are required fields. If you have questions about this form, please contact us at (208) 336-5478.
Note: Your request is likely to be smoothly submitted if you are using Google Chrome or Mozilla Firefox as your browser; Internet Explorer has been found to be less predictably smooth.
You can add up to 4 patients in this section. If there are more than 4 patients currently receiving treatment, please add all additional patients' details (Name, Date of Birth, Location of Treatment, Diagnosis, etc.) in the space provided at the end of this form. A Family Services staff person will contact the medical professional referrer for any additional information that may be required.
Our goal is to provide a safe & secure environment for all guests. The following screening questions are required of all adults requesting a stay at the Idaho Ronald McDonald House (RMH). Certain situations may require more information. The referring medical professional must provide additional details (at the end of this section) for any 'Yes' or 'Unknown at This Time' answers.
Please add the information for all guests that will be present for this stay (including siblings). Click +Add Another Guest after each set of screening questions to add additional guests. At this time we do not have a way to avoid answering the screening questions for any minors that will be added as a guest. Please fill out the screening questions with the appropriate answers and the RMH staff will disregard once the request is processed.
Please note that guest rooms can accommodate a maximum of 4 people (if room occupants are co-sleeping). We understand the importance of having family with us; however, for safety and service reasons, we can not exceed the occupancy limit of the guest rooms.
Please contact a Family Services Coordinator if you have additional needs or questions at (208) 336-5478.
Please remember that the submission of this online request form is not a room reservation.
One of the parents/guardians included in this form submission must call the House 24 hours prior to the requested arrival date and speak with a Family Services staff (208-336-5478). During this 24-hour confirmation call, a Family Services staff person will advise if there is a room available. If a room is not available on your requested arrival date, Family Services staff will continue to move your request forward until a room is available for you.
Please provide the Family Services staff person you speak with your approximate arrival time if/when you are advised that there is room available for your stay. Also, please provide Family Services staff with information regarding any changes to other family members who may be joining you during your stay. Please keep in mind that any guests of adult age will be required to complete the Qualifying Criteria questions and a check of the National Sex Offender Registry will be completed prior to their being allowed to remain on RMHC property.
By selecting yes, you are agreeing the above information has been correctly completed.
To confirm a room, a parent or guardian MUST call 24 hours before their requested stay date. You can speak with a Family Sevices staff member at (208)336-5478.
Ronald McDonald House Charities® of Idaho
139 E Warm Springs Avenue, Boise, Idaho 83712
PHONE (208) 336-5478
FAX (208) 336-0587
EMAIL: info@rmhcidaho.org
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