Family Medicine

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If you require a standing/recurring reservation: Please contact Melissa De Lyser, 503-494-5814.
If you need to use the Portable Polycom Cart (audio & video), please reserve space in RM 326 in Emma Jones Hall via your Outlook Calendar, then contact Melissa De Lyser, 503-494-5814 for more information.

First Name:

Last Name:

Department Area/Clinic:

(Example: Research, Administration, Residency, etc.)

Phone:

Email:

Equipment to Reserve:

Laptop

Polycom Soundstation (audio only)

Sanyo PROxtraX Projector

Sanyo PLC-XUY 100 Projector

EIKI Cassette Tape Recorder (this is NOT digital)

Date of Pick Up:

Time of Pick Up:

Date of Return:

Time of Return:

Additional Information/Requests:

NOTE: Only employees affiliated with the OHSU Department of Family Medicine are allowed to reserve this equipment.