ERH Virtual Patient Visit Request

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Virtual Visiting is a way to connect with hospitalized patients without coming into the hospital. Patients' families and friends can request to connect virtually by completing the form below.

Virtual visits require the requestor to have access to a laptop, tablet or smart phone.

You will be contacted within 2-3 business days. The Virtual Visiting Program is supported by Volunteers. Visits are limited to 30 minutes and take place weekday afternoons.

Due to COVID-19 Volunteer restrictions we are unable to offer evening, weekend or stat holiday virtual visits.

This virtual visit request form is for Eagle Ridge Hospital only.

Your Name *

Relationship to Patient *

Phone Number *

Your Email Address *

Patient Unit

Preferred Date of Visit

YYYY

Preferred Time of Visit

Time

Is this a special occasion? (birthday, anniversary etc.)

Please identify the program you are most comfortable using for your visit

Is there anything else you would like us to know?

Submit

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