Working under tight timelines with up to 40 stakeholders and committees of health care policy makers we were able to steer the signage project toward a bold and yet conservative approach that immediately conveys “health care” by tying in with existing and recognizable iconography and design elements. Universal accessibility was a key driver in the development of the work. Because of the nature of the district, particular attention was paid to the legibility of signage with multiple rounds of mockup reviews in the field and consultation with the visually impaired and other patient groups.