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Your Information

First Name

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Last Name

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Email Address (optional)

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Patient Information

Hospital

Select one... Strong Memorial Hospital Golisano Children's Hospital

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First Name

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Last Name

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Room Number (if known)

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Message

Message

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Privacy Agreement

I acknowledge that the <a href="/privacy/">privacy statement</a> was made available to me, and I wish to submit an email to a patient at one of the hospitals at The University of Rochester Medical Center. Please note: Your message will be reviewed for appropriateness, and URMC reserves the right not to deliver your message to the patient

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