Email a patient

Would you like to send a patient an email message?

Our Auxiliary Department can deliver your message right to the patient's bedside. Just email us below, include the patients full name and room number if you have it, and we will print and deliver your email. All e-mail messages will be delivered during normal business hours of Monday - Friday 9:00am- 4:00pm (Pacific Standard), excluding holidays. Messages received outside of these hours will be delivered the next business day.

All fields with an asterisk (*) are required.

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2020-FW-Riverside Community Hospital-Email A Patient-PI

First Name*

Last Name*

Email*

Patient Name*

Patient Room Number*

Message*

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.)