Volunteer

Show Your Loved One You Care


Friends and family are invited to use the form below to send an e-mail to a patient at PHLB.

This note will be printed out and hand delivered daily by our staff and volunteers during regular business hours.

Notes sent outside of regular business hours will be delivered the next business day.

Notes sent over the weekend will be delivered as soon as possible, during our regular business hours.

To send an e-mail, please fill out the form below and click the "Send Message" button.

 * Required Field

PATIENT INFORMATION

FIRST NAME *
LAST NAME *

YOUR MESSAGE *

CLOSING VALEDICTION  (i.e. Love, Take Care, Get Well Soon, etc.)

YOUR INFORMATION

NAME  (How the patient refers to you, i.e. Mom, Dad, Grandma, etc.) *
PHONE NUMBER *
E-MAIL ADDRESS *