This form must be completed between 72 and 48 hours immediately preceding the scheduled arrival of any vendor, consultant, contractor or other professional visitor at a Penn State Health Milton S. Hershey Medical Center or Penn State College of Medicine location. Note that by submitting this form, the visitor agrees to abide by all guidance for visitors/vendors as listed at

The visitors and internal representative will be notified of approval status.

Professional visitors should not arrive on site without notice of approval.

With any questions, contact

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