Harris County Hospital District E-Greeting
To send a greeting to a patient currently staying in one of our hospitals, please fill out the following form. Your message will be printed in our Volunteer Office and hand-delivered by one of our dedicated volunteers. Every effort will be made to ensure your greeting is received in a timely manner.
Greeting
Type of Greeting*:
--select--
Birthday
Get Well
New Baby
Patient Information
Patient's name*:
Patient's hospital*:
--Choose a hospital--
Ben Tab General Hospital
LBJ General Hospital
Quentin Mease Community Hospital
Unknown
Patient's room number:
Patient's age:
Information About You
I am the patient's*:
-----select-----
Wife
Husband
Mother
Father
Daughter
Son
Sister
Brother
Grandmother
Grandfather
Aunt
Uncle
Friend
Co-worker
Other
Specify if other:
My name*:
E-mail address:
Please Type Your Message Here
Your greeting message*:
(Limit to 500 characters)
Enter the content of this image, then submit: