Date of Request * Choose an Art Kit Which Art Kit would you like to request? You may request up to two free kits per week. Please note: We are not available to deliver kits between 4 pm Fridays through 11 am Monday, or on holidays. * Journaling Kit Brain Teaser Kit Coloring Book Kit Playing Cards Kit Watercolor Kit Origami Kit In order to make this service free for our patients, we ask that you order no more than two kits per week per patient. Thank you. Patient Information Patient Name * Patient Room Number * Requested by * Relationship to Patient * Phone or Pager * Email Address How did you learn about this service? A Duke Hospital Staff Member let me know I found it listed in the Patient Guide I found it on your website Family member let me know Other Additional Information Please provide any additional information about your needs or how your learned about our services.