• Request for Information


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  • Contact Us

    Mark Preece Family House
    191 Barton Street East
    Hamilton, ON L8L 2W7
    Phone: 905-529-0770
    Fax: 905-529-9955

Online Guest Referral Form

Guest Information

Date of referral

Date room is needed

Guest name (required)

Street Address


Postal code

Patient/Family Phone number (required)

Patient/Family Cell number

Number of people requiring accommodation

Name(s) of additional guests

Patient Information

Patient name

Ward patient is being admitted to

Estimated length of stay

Referral Made By

Name (required)

Contact number (required)

Email (required)



Notes (please indicate priority, any special guest requirements or circumstances, etc)

Consent to share information

YES - I authorize to provide the Mark Preece Family House with the above information and to confirm that the above mentioned patient is being admitted to the hospital mentioned above.

  • Cost to stay is $45 per room per night (Visa, MC, debit, cash or cheque accepted)
  • Free parking is provided on location