Group Tour Registration

Thank you for your interest in visiting Western University of Health Sciences. Group tours are important to us so providing some additional information will help us determine how to proceed.

Group Organizer -- Contact Information

First Name*

Last Name*

Title

Email Address*

Confirm Email Address*

Phone*

Are you willing to accept visit-related text messages?

Yes

Visit Detail

Proposed Date of your visit?

Name of your group?

Which institution are you representing?

How many visitors in your group?*

Is there a specific area of focus for the group?

Additional details about your group or what you're hoping to accomplish during your visit?