Request For Standardized Patient(s) Form

Please complete the form below to provide the SPP team with your project requirements and learning objectives enabling us to accurately assess and support your simulation objectives.

Project Name*

Project Location*

Project Date

_{E.g., November 14, 2025 or if you don't know when the project will take place but you know the month and year, you can enter November 2025}

Name of Client/Organization*

Please provide the name and address of the client/organization responsible for paying the invoice and the contact information for the individual who will be receiving the invoice.

Department/Division

If affiliated to the University of Toronto, please mention the Department/Division or Faculty.

Client Address*

Invoice Contact First Name and Last Name

Email*

Phone Number*

Who is the Lead Educator/Case Writer (e.g., case content expert for this project) or Project Coordinator for the project?

Is your name and contact information the same as the client/organization receiving the invoice? *

Yes

If Yes, skip this portion and go to Project Description.

If No, please provide the contact information.

Full Name*

Name of the Organization

Department

Office Address*

Phone Number

Project Description*

What are the learning objectives of the project? Is it a teaching or an assessment session? Demographics requirements, if known?

Is a Cost Estimate for the Project required?

Yes