Clinical Education Center at Brackenridge CEC Scheduling Request Form

Brackenridge
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Due to high demand for space at the Clinical Education Center and in order to accommodate all requests, please notify CEC Administration as soon as possible for all cancellations and/or changes (i.e. decrease or increase in enrollments/attendance).

Please contact Chaz D’Acquisto, CEC Computer Support Coordinator, at 512-324-9999 extension 80120 if you need to schedule an orientation to the audio/visual equipment in the training rooms or computer labs.

Please contact Buffy Allen, Director of the Interdisciplinary Skills Lab & Clinical Simulation, at 512-324-8114 if you need to schedule an orientation to the manikins and/or equipment in the skills lab or simulation lab.

Fees for Rentals, Equipment, Services, Supplies and Staff Support may apply.

Fields outlined in orange are required.

Requester Information
First Name
Last Name
Title
Phone
Other Phone/Pager
Fax
Email
Cost Center
Company/School/ Hospital
Program/ Department
Semester/Cohort
Instructor/User Information
 
First Name
Last Name
Title
Phone
Other Phone/Pager
Email

REQUESTS

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