Email a Patient

We know our patients appreciate hearing words of support from friends and family. Emailing a patient is a convenient way to send a personal message of support. Complete the form below to have your message printed and hand-delivered to the patient in person. Patients are often surprised and appreciative of these personalized messages.

Email A Patient Form

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Address

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City

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Patient Name

Patient Room

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I would like to receive future email communications from EIRMC

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General Internet communication is inherently not secure. DO NOT send data considered confidential or private in nature on this form. (e.g., Social Security Numbers, Diagnosis Information, Credit Card Numbers, etc.)

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