Personalize Your Card - Genesis Health System

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Milestone (Birthday Balloons)

Add a personal message...

500 characters remaining.

Who is this card from?

Your First Name *

Your Last Name *

Your Email Address *

Send me a copy

(email required)

-OR-

Your Phone (555-123-1234)

Type

Who is this card being sent to?

Recipient's First Name *

(no nicknames please)

Recipient's Last Name *

How should we deliver this card?

As an email message to a personal account

Recipient's Email Address

As a printed card delivered to a patient's hospital room

Location

Recipient's Hospital Room Number

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