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Request form for e-visiting for patients and families

Given the evolving COVID-19 pandemic, Unity Health is not allowing family/support persons (visitors) in the hospital at this time to keep our patients, families, staff and physicians safe.

We know this is a difficult time and we want to support our patients and families with staying connected.

Please complete this form to request a virtual visit with your loved one. Due to the volume of requests, please allow for 24 hours for a response back.