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Patient Contact Form

We are acutely aware of the pain of separation during this pandemic - particularly for those families whose loved ones are currently patients with us. Having to suspend visiting in all but exceptional circumstances was one of the hardest things we have had to do. To try to ease this, we have introduced a “Send your loved one a message” scheme. We know how much it will mean to our patients to brighten up their days with messages from their friends and family. Simply pop in your details below, including your contact details, the patients details and your message. An email will then be sent directly to the ward, where a member of staff will be able to pass it on. If the ward get back to us, then we can relay this to you using the email address you give. At the moment, the system is being trialed on a small number of wards with the aim to roll it out across our hospitals.
  • We'll use this email address to confirm your message has been delivered - we cannot guarantee all messages will be delivered and delivery is dependent on availability of ward staff. Any replies will also be sent via this email. Please note delivery confirmation can only be issued Mon-Friday 8.30am-5pm
  • This field is for validation purposes and should be left unchanged.

For information on how we use the data you submit please visit our Privacy page

For Information about how we use your data please see our Privacy Page.