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Case Studies

Central Alabama Veterans Health Care System


One System. Two Wayfinding Strategies.

Montgomery and Tuskegee, AL
Accessible entrance sign directs patients to the main hospital at Montgomery.

One System. Two Wayfinding Strategies.

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Central Alabama Veterans Health Care System serves nearly 50,000 Veterans across central Alabama and western Georgia, with approximately 433,000 outpatient visits annually. Its historic medical centers in Montgomery and Tuskegee present distinct layouts and circulation challenges.

Creative Sign Systems implemented a comprehensive interior and exterior wayfinding program for both campuses, combining consistent design standards with strategies tailored to each location. The approach addresses how patients arrive, find appropriate entrances, and move through the facilities, creating a coordinated wayfinding experience across two very different environments.


Arrival Experience

Consolidating core buildings and directing patients to the Main Entrance


Effective arrival wayfinding establishes a clear path from campus entry to parking and the appropriate entrance. Each facility’s layout calls for a different approach.

Montgomery: A relatively simple loop road concentrates key decisions near two primary vehicular entrances. Signage directs patients to parking and the Main and Emergency entrances.

Tuskegee: Long approach roads, dispersed parking, and numerous interconnected buildings required a more comprehensive strategy. Previously treated as individual destinations, the core buildings were grouped under a single wayfinding designation, the Main Building Complex, with signage directing patients to a shared Main Entrance.


Color-coded signs and themed imagery identify Montgomery’s first floor and letter-designated wings.
Tuskegee’s exterior strategy consolidates the core buildings into a single wayfinding designation, the Main Building Complex, and directs patients to the shared Main Entrance. Simplified messaging replaces dense destination lists and building numbers with a clearer route to patient access.
Before: dense destination lists and building numbers on the old Tuskegee roadway sign.

Before
Dense destination lists and building numbers made it difficult to identify appropriate patient entrances.

After: the new Tuskegee pylon directs patients to the shared Main Entrance of the Main Building Complex.

After
Simplified messaging directs patients to the Main Entrance, providing access to the interconnected buildings of the Main Building Complex.

Pathways to Care


At both campuses, architecture alone offered few cues for orientation. Color was used to make these distinctions clearer, with each facility using a different sequence to guide patients from entrance to destination.

Montgomery: A winding ground-floor corridor connects three primary entrances with key destinations and two main elevator banks. The upper floors share similar layouts, so wings are identified by both color and letter, helping patients navigate first to the correct floor, then to the appropriate wing and destination.


Color-coded signs and themed imagery identify Montgomery’s first floor and letter-designated wings.
At Montgomery, themed imagery and color-coded signage identify floors and guide patients to letter-designated wings.

Color-coded signs and themed imagery identify Montgomery’s first floor and letter-designated wings.
From primary entrances, patients are directed to the main elevators, then follow color-coded and lettered identifiers to the correct floor and wing.

Tuskegee: Buildings connect along a central corridor within the Main Building Complex, but transitions between numbered buildings are indistinct. From the Main Entrance, signage guides patients through the complex, with color-coded identifiers marking each building threshold. These cues clarify building transitions, define spaces, and orient patients as they navigate from the Main Entrance to the correct building, floor, and destination.

A red Building 2 identifier and location map mark a building transition along Tuskegee’s central corridor.
A green Building 4A identifier and location map mark a building transition at Tuskegee.
Prominent building identifiers pair color coding with location maps at key transitions along Tuskegee’s central corridor.

One System. Built for Change.


Across Montgomery and Tuskegee, a unified family of interior and exterior signage components establishes a consistent visual language while accommodating the distinct needs of each campus.

Standardized sign types, materials, and construction methods simplify maintenance and replacement, reduce long-term costs, and support efficient updates. This coordinated approach also makes it easier to extend the system as campuses and services evolve.


Coordinated exterior signs identify Montgomery’s Emergency entrance and patient parking.

Coordinated exterior signs identify Montgomery’s Emergency entrance and patient parking.

More Than a Cosmetic Upgrade


Interior directional sign identifies departments, auxiliary elevators, and Floor 2 at Montgomery.

Replacing outdated signs may improve appearances, but it won’t correct confusing routes, inconsistent information, or poorly placed directions. Without addressing these underlying issues, a cosmetic upgrade risks preserving the same problems at considerable expense. Every Veterans Affairs campus presents unique wayfinding challenges, shaped by its architecture, circulation patterns, check-in points, and operational procedures.

Effective wayfinding begins with understanding how people actually use a facility. Creative Sign Systems brings that perspective to each project, evaluating circulation patterns, destination relationships, and facility-specific challenges to develop solutions that address more than appearances.

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