Initial Simulation Activity Development Form

Individuals planning to use the MUSC Healthcare Simulation Center (MUSC HSC) or its equipment must complete all sections of this form. You will be contacted by the MUSC Healthcare Simulation Center to make arrangements for the appropriate next steps in the activity development process. The next steps may differ depending on the type of simulation activity planned.

Sponsor/Participants Information
Contact Information
With area code. No dashes.
With area code. No dashes.
FDM Billing Information
Check all that apply.
Activity Information