The floor rules themselves are straightforward once you know they exist, and they are the hospital's to set — they change, and staff have the final say at the door. Fresh flowers and soil-grown plants are commonly restricted or prohibited on oncology, bone-marrow and transplant units and in intensive care, because soil and standing water are an infection concern for immunocompromised patients. Neonatal intensive care almost never accepts flowers. Labor and delivery and the general medical and surgical floors usually do. So the first question to answer before you order is not what to send but where the patient actually is: ICU, a cardiac unit, an oncology floor, post-surgical, maternity, pediatrics, or a rehab bed. Tell us, and the design is built to match — lily-free as a default because lily pollen stains and its scent is strong in a closed room, low-pollen generally, fragrance-light, no loose berries or seed heads, no latex balloons anywhere in a hospital because of allergy protocols, and mylar only if you want one at all. Give us the patient's full name and the room or unit if you have it. If flowers are turned away at the unit door, the alternative is to route the arrangement to the family's hotel or to the home address, which is usually where it does the most good anyway.
Beyond the two hospitals, the get-well map has three more layers. The clinic layer is downtown and midtown: the Western Montana Clinic and the physician offices around St. Patrick, Partnership Health Center's community clinics, the Missoula VA clinic serving a state with one of the highest per-capita veteran populations in the country, and the specialty and outpatient offices along Broadway, Brooks and Reserve. Clinic deliveries are simple — front desk, patient's full name, expect a staff handoff — and are the right destination for someone finishing a course of treatment rather than lying in a bed. The recovery layer is the rehabilitation and skilled-nursing residences scattered through the south side and the Rattlesnake, plus assisted living and memory care; those buildings run reception intake, some restrict certain flowers on memory-care wings, and a low weighted vase on a bedside table is always the right form. The regional layer is what the widened 60-mile radius is for: Marcus Daly Memorial Hospital in Hamilton, about 45 minutes down US-93 at the south end of the Bitterroot, and St. Luke Community Healthcare in Ronan, about the same distance north through Arlee and St. Ignatius. Those are scheduled runs, not same-day drops, and they want a day of notice.