• 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 $60 per room per night (Visa, MC, debit, cash or cheque accepted)

    • Free parking is provided on location