Best Wishes Message Service

Disclaimer
We will not enter into correspondence regarding your message. If we are unable to deliver your message it will be destroyed. We will not deliver any messages we consider to contain inappropriate comments.

If you plan to write a long message, to ensure you have a saved copy for yourself you may wish to consider writing it in your normal word processing software, and save it there first, before copying & pasting it into this form

Name of Patient (required)

Location of Patient (required)

Please Write Your Message Here

From (required)

Contact Telephone Number

Your email address to receive a copy of this Patient Message via email (required)