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Contact Fairview - Fairview Health Services

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href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Hospitals/Redwing/index.htm">Fairview Red Wing Medical Center</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Hospitals/Ridges/index.htm">Fairview Ridges Hospital</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Hospitals/Southdale/index.htm">Fairview Southdale Hospital</a></li> <li><a target="_blank" href="https://web.archive.org/web/20101228185350/http://www.maplegrovehospital.org/">Maple Grove Hospital</a></li> <li><a target="_blank" href="https://web.archive.org/web/20101228185350/http://www.uofmchildrenshospital.org/">University of Minnesota Amplatz Children&rsquo;s Hospital</a></li> <li><a target="_blank" href="https://web.archive.org/web/20101228185350/http://www.uofmmedicalcenter.org/">University of Minnesota Medical Center, Fairview</a>&nbsp;</li> <li><a target="_blank" href="https://web.archive.org/web/20101228185350/http://www.range.fairview.org/">Fairview - University Medical Center - Mesabi</a></li> </ul> </div> </div> <p><br/> <img height="18" alt="Map a hospital near you" width="18" border="0" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_map-icon.gif"/> <a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Hospitals/index.htm">Map a hospital near you</a></p> </div> </div> <div class="menuBottomB png"></div> </div> <!-- END hospitals_subMenu --> <!-- clinics_subMenu --> <div id="clinics_subMenu" class="dropDNmenuB menuTopPosA" style="display:none"> <div class="menuTopB png"></div> <div class="menuContentB"> <div id="Menu2"> <h2>Clinic Quick Search:</h2> <form action="https://web.archive.org/web/20101228185350/http://www.fairview.org/SearchResults/index.htm" method="get"> <div class="quickSearchB_bgnd" style="float: left"><input class="dropDNmenu_search_inputField" 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href="https://web.archive.org/web/20101228185350/http://www.fairview.org/UrgentCare/index.htm">Urgent Care Clinics</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/UrgentCare/index.htm">Express Care Clinics</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Pharmacy/index.htm">Pharmacies</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/clinics/index.htm">Visit our clinics home page</a></li> </ul> </div> </div> </div> </div> <div class="menuBottomB png"></div> </div> <!-- END clinics_subMenu --> <!-- docProviders_subMenu --> <div id="docProviders_subMenu" class="dropDNmenuB menuTopPosA" style="display:none"> <div class="menuTopB png"></div> <div class="menuContentB"> <div id="Menu3"> <h2>Doctors &amp; Providers Quick Search:</h2> <form action="https://web.archive.org/web/20101228185350/http://www.fairview.org/providers/bio/index.htm" method="get"> <div 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onfocus="clearDefault(this)" name="ssUserText" value="Search by specialty" type="text"/><input type="hidden" name="qVar1" value="specialty"/></div> <div class="quickSearch_submitBTN" style="float: left"><input id="submit4" type="image" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_searchbtn_lrg.gif" name="submit" value="submit"/></div> <div class="clear">&nbsp;</div> </form> <div class="dropDnContentBox" style="float: left; width: 150px; margin-right: 30px"> <h2>Services:</h2> <div class="arrowList"> <ul> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Services/Audiology/">Audiology</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Services/CancerCare/">Cancer Care</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Services/HeartCare/index.htm">Heart</a> and <a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Services/ArteryVeinCare/index.htm">Vascular</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Services/OrthopedicMedSurgery/index.htm">Orthopedics</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Services/SeniorServices/index.htm">Senior Services</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Services/WomensServices/index.htm">Women&rsquo;s Health</a><br/> &nbsp;</li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Services/index.htm"><strong>View All Services</strong></a></li> </ul> </div> </div> <div class="dropDnContentBox" style="float: left; width: 160px"> <h2>Most Popular:</h2> <div class="arrowList"> <ul> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/UrgentCare/index.htm">Express Care</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Services/Birthplace/">Moms and Babies</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Pharmacy/index.htm">Pharmacy Services</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/clinics/index.htm">Fairview Clinics</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Services/Sportsorthocare/">Sports Medicine Injuries</a></li> <li><span class="red"><a class="red" target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/UrgentCare/index.htm">Urgent Care/Emergency</a></span></li> </ul> </div> </div> <div class="clear">&nbsp;</div> </div> </div> <div class="menuBottomA png"></div> </div> <!-- END specialties_subMenu --> <!-- healthLib_subMenu --> <div id="healthLib_subMenu" class="dropDNmenuA menuTopPosA" style="display:none"> <div class="menuTopA png"></div> <div class="menuContentA"> <div id="Menu5"> <h2>Health Library Quick Search:</h2> <form action="https://web.archive.org/web/20101228185350/http://www.fairview.org/healthlibrary/Search/index.htm" method="get"> <div class="quickSearchA_bgnd" style="float: left"><input class="dropDNmenu_search_inputField" onfocus="clearDefault(this)" name="search" value="Search by name, specialty or location" type="text"/></div> <div class="quickSearch_submitBTN" style="float: left"><input id="submit5" type="image" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_searchbtn_lrg.gif" name="submit" value="submit"/></div> <div class="clear">&nbsp;</div> </form> <div class="dropDnContentBox" style="float: left; width: 150px; margin-right: 30px"> <h2>Health Advisors:</h2> <div class="arrowList"> <ul> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/healthlibrary/S_014418">Cardiology</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/healthlibrary/S_014423">Emergency and Trauma</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/healthlibrary/S_014439">Eye Health</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/healthlibrary/S_014430">Medications</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/healthlibrary/S_014431">Mental Health</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/healthlibrary/S_014440">Orthopedics</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/healthlibrary/S_014443">Pediatrics</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/healthlibrary/S_014451">Senior Health</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/healthlibrary/S_014436">Women&rsquo;s Health</a></li> </ul> </div> </div> <div class="dropDnContentBox" style="float: left; width: 160px"> <h2>Health Tools:</h2> <div class="arrowList"> <ul> <li><a href="https://web.archive.org/web/20101228185350/https://sslforms.fairview.org/staywell/quizzes.aspx">Health Quizzes</a></li> <li><a href="https://web.archive.org/web/20101228185350/https://sslforms.fairview.org/staywell/calculators.aspx">Health Calculators</a></li> <li><a href="https://web.archive.org/web/20101228185350/https://sslforms.fairview.org/staywell/assessments.aspx">Risk Assessments</a></li> </ul> </div> </div> <div class="clear">&nbsp;</div> </div> </div> <div class="menuBottomA png"></div> </div> <!-- END healthLib_subMenu --> <!-- about_subMenu --> <div id="about_subMenu" class="dropDNmenuB menuTopPosA" style="display:none"> <div class="menuTopB png"></div> <div class="menuContentB"> <div id="Menu6"> <h2>Employee Quick Search:</h2> <form action="https://web.archive.org/web/20101228185350/https://sslforms.fairview.org/phonedirectory/index.asp" method="get"> <div class="quickSearchB_bgnd" style="float: left"><input class="dropDNmenu_search_inputField" onfocus="clearDefault(this)" name="LastName" value="Search by last name" type="text"/></div> <div class="quickSearch_submitBTN" style="float: left"><input id="submit6" type="image" height="30" alt="Search for Fairview Employees" width="90" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_searchbtn_lrg.gif" border="0" longdesc="undefined" name="submit" value="submit"/></div> <div class="clear">&nbsp;</div> </form> <div class="dropDnContentBox"> <h2>About Fairview:</h2> <div class="arrowList"> <ul> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/About/Patientbilling/">Billing</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/careers/index.htm">Careers at Fairview</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/About/Communitycommitment/">Community commitment</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/About/Contact/">Contact Fairview</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/About/MediaCenter/">Fairview news</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/giving/index.htm">Giving to Fairview and Ebenezer</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/About/S_014291">Innovation</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Research/">Research</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/About/S_002704">Welcome to Fairview</a></li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/about/">Visit our About home page</a>&nbsp;&nbsp;</li> </ul> </div> </div> </div> </div> <div class="menuBottomB png"></div> </div> <!-- END about_subMenu --> <!-- patient_subMenu --> <div id="patient_subMenu" class="dropDNmenuB menuTopPosA" style="display:none"> <div class="menuTopB png"></div> <div class="menuContentB"> <div id="Menu7"> </div> </div> <div class="menuBottomB png"></div> </div> <!-- END patient_subMenu --> <!-- END subNav layers --> <!-- logoNav --> <div id="fairviewLogo"><a href="/web/20101228185350/http://www.fairview.org/index.htm"><img src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_logo1.gif" alt="Fairview" width="182" height="32" border="0"/></a></div> <div class="assistTools"> <div class="liveSupportBTN" style="float:left"><a href="https://web.archive.org/web/20101228185350/https://www.fairview.org:8089/ci/index.jsp?loc=defaultfv"><img src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_live-help-btn.gif" alt="Live Support" name="liveSupportBTN" width="63" height="27" border="0" id="liveSupportBTN"/></a></div> <div class="clear"></div> </div> <!-- //logoNav --> <!-- utility Nav --> <div id="utilityNav"> <div id="Menu9"> <ul><li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/index.htm">Home</a></li><li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/giving/">Giving</a></li><li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/careers/">Careers</a></li><li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/locations/">Locations</a></li><li><a target="" href="https://web.archive.org/web/20101228185350/https://mychart.fairview.org/">MyChart</a></li><li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/pharmacy/">Pharmacy</a></li><li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/urgentcare/">Urgent Care</a></li><li><a target="" href="https://web.archive.org/web/20101228185350/https://sslforms.fairview.org/ceii/class/default.asp">Classes</a></li><li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/espanol/">EN&nbsp;ESPA&Ntilde;OL</a>&nbsp;</li></ul> </div> <div class="clear"></div> </div> <!-- utility Nav --> <!-- Main Nav --> <div id="mainNav"> <div id="Menu10"> <ul> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/hospitals/index.htm"><img height="31" border="0" width="83" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_hospitals_btn.gif" name="hospitalBTN" alt="Hospitals" id="hospitalBTN"/></a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/clinics/index.htm"><img height="31" border="0" width="62" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_clinics_btn.gif" name="clinicsBTN" alt="Clinics" id="clinicsBTN"/></a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/providers/index.htm"><img height="31" border="0" width="154" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_docsproviders_btn.gif" name="docProvidersBTN" alt="Doctors and Providers" id="docProvidersBTN"/></a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/services/index.htm"><img height="31" border="0" width="72" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_specialties_btn.gif" name="specialtiesBTN" 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type="text" class="search_inputField" value="Site Search" onfocus="clearDefault(this)"/> </div> <div id="submit-btn"> <input class="png" type="image" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_search-btn.png"/> <input type="hidden" name="charset" value="iso-8859-1"/> <input type="hidden" name="st" value="1"/> <input type="hidden" name="rf" value="0"/> <input type="hidden" name="pw" value="900"/> </div> <div class="clear"></div> </div> </form> <!-- //Search, for sites using Ultraseek --> <!-- myHealthTools --> <div id="dropDnLayer" class="dropDnLayerPosA"> <div id="dropDnContainer"> <div id="dropDnContainer-bg"> <div id="dropDNContent-wrapper"> <div id="dropDnContent" class="blueLinks"> <div id="Menu11"> <ul> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/billing/index.htm">Patient Billing</a><br/> <p class="smaller">Billing information and contacts.</p> <p><a target="" href="https://web.archive.org/web/20101228185350/http://sslforms.fairview.org/billing/">Pay Your Bill</a><br/> <span class="smaller">Secure, online bill pay.</span></p> </li> <li><a target="_blank" href="https://web.archive.org/web/20101228185350/https://mychart.fairview.org/"><span style="font-weight: normal">My</span>Chart Login</a><br/> <p class="smaller">Access your health record, request an appointment or a pharmacy refill, see lab results.<br/> <a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/MyChart">Learn more about MyChart</a></p> </li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.netclinic.com/">NetClinic</a><br/> <p class="smaller">Online patient education and interaction with your providers.</p> </li> <li><a target="" href="https://web.archive.org/web/20101228185350/https://sslforms.fairview.org/preregistration/prereg.asp">Pre Registration</a><br/> <p class="smaller">Get registration details out of the way before visiting the hospital.</p> </li> <li><a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/hims/index.htm">Medical Records</a><br/> <p class="smaller">Request copies of your medical records.</p> </li> <li><a target="" href="https://web.archive.org/web/20101228185350/https://sslforms.fairview.org/ClinicAppointment/AppointmentRequest.asp ">Request an Appointment</a><br/> <p class="smaller">Online appointment request form.</p> </li> </ul><!--grant test--> </div> <div class="clear"></div> </div> </div> </div> <div id="dropDnContainer-btm"><img class="png" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_drop-bottom-bg.png" border="0" width="982" height="38" alt=""/></div> </div> <div id="healthToolsTab"><img class="png" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_healthtools_tab.png" alt="My Health Tools" width="157" height="22" border="0"/></div> </div> </div> </div> <!--startindex--><!--//Header--> <div class="pageTopSpace">&nbsp;</div> <div id="contentContainer"><!-- content --> <div class="fullWidth_container"> <div class="png" id="pageTopCap"></div> <div class="fullWidth_content png"><!-- SS_BEGIN_SNIPPET(fragment3,Drop Point)--> <div id="page-actions"><span class="page-action"><a href="javascript:window.print()"><img height="15" alt="Print" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_print.jpg" width="46" border="0"></a></span> </div> <!-- SS_END_SNIPPET(fragment3,Drop Point)--> <!--Sub Left--> <div id="sub-left"> <div id="nav-container"><!-- SS_BEGIN_SNIPPET(fragment2,2)--> <div class="smaller" style="text-transform: uppercase; font-weight: lighter">&lt; <a href="/web/20101228185350/http://www.fairview.org/index.htm">Home</a></div> <h2><a href="/web/20101228185350/http://www.fairview.org/About/index.htm">About</a></h2> <div class="sidebarNav sidebarNavLinks"> <ul> <li> <a href="/web/20101228185350/http://www.fairview.org/About/Communityhealth/index.htm">Community health&nbsp;</a> </li> <li> <a href="/web/20101228185350/http://www.fairview.org/About/Communitycommitment/index.htm">Community commitment&nbsp;</a> </li> <li> <a class="focus" href="/web/20101228185350/http://www.fairview.org/About/Contact/index.htm">Contact us&nbsp;</a> </li> <li> <a href="/web/20101228185350/http://www.fairview.org/About/Innovation/index.htm">Innovation&nbsp;</a> </li> <li> <a href="/web/20101228185350/http://www.fairview.org/About/MediaCenter/index.htm">Media Center&nbsp;</a> </li> <li> <a href="/web/20101228185350/http://www.fairview.org/About/PatientBilling/index.htm">Patient Billing&nbsp;</a> </li> <li> <a href="/web/20101228185350/http://www.fairview.org/About/Research/index.htm">Research&nbsp;</a> </li> <li> <a href="/web/20101228185350/http://www.fairview.org/About/Vendorinformation/index.htm">Vendor information&nbsp;</a> </li> <li> <a href="/web/20101228185350/http://www.fairview.org/About/Welcome/index.htm">Welcome to Fairview&nbsp;</a> </li> </ul> </ul> </div> <!-- SS_END_SNIPPET(fragment2,2)--></div> <div class="clear"></div><!-- SS_BEGIN_OPENREGIONMARKER(region3)--> <!-- SS_END_OPENREGIONMARKER(region3)--> <div class="txtBox" id="leftAddress"><!--SS_BEGIN_ELEMENT(region3_element1)-->Fairview Health Services<strong><br/></strong>2450 Riverside Ave.<br/>Minneapolis, MN 55454<br/>612-672-7272<br/>800-824-1953<br/>TTY 612-672-7300<!--SS_END_ELEMENT(region3_element1)--></div><!-- SS_BEGIN_CLOSEREGIONMARKER(region3)--><!-- SS_END_CLOSEREGIONMARKER(region3)--> </div><!--Sub Right--> <div id="sub-right"><!-- SS_BEGIN_OPENREGIONMARKER(region1)--> <!-- SS_END_OPENREGIONMARKER(region1)-->&nbsp;&nbsp; <div id="content" style="MIN-HEIGHT: 500px; WIDTH: 618px"> <h3><!--SS_BEGIN_ELEMENT(region1_element1)-->Contact Fairview<!--SS_END_ELEMENT(region1_element1)--></h3> <p><!--SS_BEGIN_ELEMENT(region1_element2)--><img alt="Real_Staff05_MedHori_FLMC_7179" align="right" border="0" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/real_staff_201009171727578.jpg"/>Fairview Health Services' continuum of services includes <a target="" href="/web/20101228185350/http://www.fairview.org/Hospitals/index.htm">hospitals,</a> <a target="" href="/web/20101228185350/http://www.fairview.org/Clinics/index.htm">primary care clinics</a>, a wide range of specialty services, <a target="" href="/web/20101228185350/http://www.fairview.org/Services/HomeCareHospice/index.htm">home care</a> and <a target="" href="https://web.archive.org/web/20101228185350/http://162.96.69.99/Ebenezer/index.htm?ssSourceSiteId=Fairview">senior services</a>. Fairview&nbsp;is headquartered in Minneapolis.<br/> <strong><br/> Fairview Health Services<br/> Corporate Building<br/> 2450 Riverside Avenue<br/> Minneapolis, MN&nbsp;&nbsp; 55454<br/> <br/> </strong><a target="" href="/web/20101228185350/http://www.fairview.org/About/Contact/S_021132">Driving directions and parking information&nbsp;for Riverside campus</a><br/> <br/> <span class="headline1">Most requested contact information&nbsp;&nbsp;</span><br/> <ul> <li>Information about <a target="" href="/web/20101228185350/http://www.fairview.org/Services/index.htm">services</a> or finding a <a target="" href="/web/20101228185350/http://www.fairview.org/Providers/index.htm">physician</a>: 612-672-7272</li> <li><a target="" href="/web/20101228185350/http://www.fairview.org/billing/index.htm">Patient billing</a>: 612-672-6724</li> <li><a target="" href="/web/20101228185350/http://www.fairview.org/Careers/index.htm">Careers</a>: 612-672-2286 or <a href="https://web.archive.org/web/20101228185350/mailto:careers@fairview.org">careers@fairview.org</a></li> </ul> <br/> Trying to find an employee at Fairview?&nbsp;Use our <a target="" href="https://web.archive.org/web/20101228185350/https://sslforms.fairview.org/phonedirectory">staff phone directory</a>. <br/> <strong><br/> Trouble with our website or still not finding what you need? Send us a comment to our web team using the form below. <br/> </strong><br/> <div id="emailFormscript" style="margin-left: 30px"><style type="text/css" text="text/css">input.captcha{display:none; }</style><script type="text/javascript"> function validate(){ var emailFilter = /^[^@]+@[^@.]+\.[^@]*\w\w$/ var illegalChars= /[\(\)\<\>\;\:\\\"\[\]]/ var validPhone = /\d{3}-\d{3}-\d{4}/ var validZip = /\d{5}/ var firstName = document.getElementById("First Name") var lastName = document.getElementById("Last Name") var company = document.getElementById("Company") var address = document.getElementById("Address") var city = document.getElementById("City") var state = document.getElementById("State") var zip = document.getElementById("Zip") var email = document.getElementById("Email") var phone = document.getElementById("Phone") var comments = document.getElementById("Comments") if(firstName){ if(firstName.value == ""){ alert("Please enter a First Name.") firstName.focus() return false }else if(firstName.value.match(illegalChars)){ alert("Please enter a valid First Name.") firstName.focus() return false } } if(lastName){ if(lastName.value == ""){ alert("Please enter a Last Name.") lastName.focus() return false }else if(lastName.value.match(illegalChars)){ alert("Please enter a valid Last Name.") lastName.focus() return false } } if(company){ if(company.value == ""){ alert("Please enter a Company.") company.focus() return false }else if(company.value.match(illegalChars)){ alert("Please enter a valid Company.") company.focus() return false } } if(address){ if(address.value == ""){ alert("Please enter an Address.") address.focus() return false }else if(address.value.match(illegalChars)){ alert("Please enter a valid Address.") address.focus() return false } } if(city){ if(city.value == ""){ alert("Please enter a City.") city.focus() return false }else if(city.value.match(illegalChars)){ alert("Please enter a valid City.") city.focus() return false } } if(state){ if(state.value == ""){ alert("Please enter a State.") state.focus() return false }else if(state.value.match(illegalChars)){ alert("Please enter a valid State.") state.focus() return false } } if(zip){ if(zip.value == ""){ alert("Please enter a Zip.") zip.focus() return false }else if(zip.value.match(illegalChars)){ alert("Please enter a valid Zip.") zip.focus() return false }else if(!validZip.test(zip.value)){ alert("Please enter a valid 5-digit Zip.") zip.focus() return false } } if(email){ if(email.value == ""){ alert("Please enter an Email Address.") email.focus() return false }else if(email.value.match(illegalChars)){ alert("Please enter a valid Email Address.") email.focus() return false }else if (!emailFilter.test(email.value)){ alert("Please enter a valid Email Address.") email.focus() return false } } if(phone){ if(phone.value == ""){ alert("Please enter an phone number.") phone.focus() return false }else if(phone.value.match(illegalChars)){ alert("Please enter a valid Phone Number in the format XXX-XXX-XXXX") phone.focus() return false }else if(!validPhone.test(phone.value)){ alert("Please enter a valid phone number in the format XXX-XXX-XXXX") phone.focus() return false } } if(comments){ if(comments.value.match(illegalChars)){ alert('Invalid text in the Comments field. Please re-enter your comments without these { | \ ( ) < > ; : " Characters.') comments.focus() return false } } else{ return true } } </script> <form action="/web/20101228185350/http://www.fairview.org/fv/groups/jsp/documents/web_assets/emailservlet/index.jsp" method="post" onsubmit="return validate()"> <table width="50%" style="margin-left: 30px"> <tbody> <tr> <td>First Name</td> <td><input id="First Name" maxlength="15" size="15" name="First Name" type="text"/></td> <td>&nbsp;</td> </tr> <tr> <td>Last Name</td> <td><input id="Last Name" maxlength="15" size="15" name="Last Name" type="text"/></td> <td>&nbsp;</td> </tr> <tr> <td>City</td> <td><input id="City" maxlength="20" name="City" type="text"/></td> <td>&nbsp;</td> </tr> <tr> <td>State</td> <td><input id="State" maxlength="15" size="15" name="State" type="text"/></td> <td>&nbsp;</td> </tr> <tr> <td>Email</td> <td><input id="Email" maxlength="30" size="30" name="Email" type="text"/></td> <td>&nbsp;</td> </tr> <tr> <td>Phone Number (Format XXX-XXX-XXXX)</td> <td><input id="Phone" maxlength="12" size="15" name="Phone" type="text"/></td> <td>&nbsp;</td> </tr> <tr> <td>Comments</td> <td><textarea id="Comments" rows="4" columns="15" name="Comments"></textarea></td> <td>&nbsp;</td> </tr> <tr> <td><input type="submit" value="Submit"/></td> <td><input class="captcha" name="reverseCaptcha" type="text"/><input id="subject" type="hidden" name="subject" value="Comment from fairview.org"/><input id="recipient" type="hidden" name="recipient" value="FAIRVIEWONCALL@fairview.org"/><input id="landingPage" type="hidden" name="landingPage" value="WEB_FORM_CONTACT_US_THANK_YOU"/></td> <td><input type="button" onclick="location.reload(true)" value="Reset"/></td> </tr> </tbody> </table> </form> </div><!--SS_END_ELEMENT(region1_element2)--></p> <p>&nbsp;</p></div><!-- SS_BEGIN_CLOSEREGIONMARKER(region1)--><!-- SS_END_CLOSEREGIONMARKER(region1)--></div> <div class="clear"></div></div></div><!-- footer --> <!--stopindex--> <div id="footerContainer" class="footerSwoosh_above png"> <div class="footerNavBox"> <div id="footerNav"> <!--c="so it behaves differently on production"--> <ul> <li class="start"><strong>Inside Fairview</strong>:</li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Hospitals/index.htm">Hospitals</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Clinics/index.htm">Clinics</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Providers/index.htm">Doctors &amp; Providers</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Services/index.htm">Services</a></li> <li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/HealthLibrary/index.htm">Health Library</a></li> <li class="end"><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/About/index.htm">About Fairview</a></li> </ul> <div class="clear">&nbsp;</div> </div> <div id="footerSubNav"> <!--c="so it behaves differently on production"--> <ul><li class="start">&copy; 2010 Fairview Health Services. All rights reserved.</li><li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/about/contact/index.htm">Contact</a></li><li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/about/S_013970">Privacy</a></li><li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/about/S_002730">Patient Safety</a></li><li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/about/S_013969">Legal</a></li><li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Careers/index.htm">Careers</a></li><li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Locations/index.htm">Locations</a></li><li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/Pharmacy/index.htm">Pharmacy</a></li><li><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/UrgentCare/index.htm">Urgent Care</a></li><li class="end"><a href="https://web.archive.org/web/20101228185350/http://www.fairview.org/SiteMap/index.htm">Site Map</a></li></ul> <div class="clear">&nbsp;</div> </div> <!--c="so it behaves differently on production"--> <div id="footer-social-links"><span class="find-us">Find us on:</span> <div class="footer-social"><a target="" href="https://web.archive.org/web/20101228185350/http://www.facebook.com/Fairview/"><img height="21" alt="Become a fan on Facebook" width="21" border="0" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_facebook2.jpg"/></a></div> <div class="footer-social"><a target="" href="https://web.archive.org/web/20101228185350/http://www.youtube.com/Fairviewhealth"><img height="21" alt="Fairview YouTube Channel" width="21" border="0" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_youtube.jpg"/></a></div> <div class="footer-social"><a target="" href="https://web.archive.org/web/20101228185350/http://twitter.com/FairviewHealth"><img height="21" alt="Follow us on Twitter" width="21" border="0" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_twitter2.jpg"/></a></div> </div> <div class="helperLinks"><img height="15" alt="Site Help and Feedback" width="16" align="absMiddle" border="0" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/fv_email_icon.gif"/>&nbsp;<a target="" href="https://web.archive.org/web/20101228185350/http://www.fairview.org/about/contact/index.htm">Site Help and Feedback</a></div> <div class="helperLinks"><img height="13" alt="Visit Other Fairview Sites" width="16" border="0" src="/web/20101228185350im_/http://www.fairview.org/fv/groups/internet/documents/web_assets/ebz_externallink_icon.gif"/></div> <div id="otherSites"> <form id="footer_websites" action="" method="post" name="footer_websites"> <div style="float: left"><select id="jumpMenu" style="font-size: 12px" name="jumpMenu"> <option selected="selected">Select Another Fairview Website</option> <option value="http://www.fairview.org/index.htm">Fairview Health Services</option> <option value="http://www.uofmchildrenshospital.org/">University of Minnesota Amplatz Children&rsquo;s Hospital</option> <option value="http://www.uofmmedicalcenter.org/">University of Minnesota Medical Center</option> </select></div> <div style="float: left"><input id="go_button" type="button" onclick="MM_jumpMenuGo(&quot;jumpMenu&quot;,&quot;parent&quot;,0)" style="font-size: 10px" name="go_button" value="Go"/></div> </form> </div> <div class="clear">&nbsp;</div> </div> <div class="footerInfo"> <!--c="so it behaves differently on production"--> <span class="lrgTxt">800-824-1953</span> </div> <div class="clear">&nbsp;</div> <div class="clear"></div> </div> <div id="footerPrint"> <!--c="so it behaves differently on production"--> </div> <!--startindex--><!--//footer--></div></div><!-- SS_BEGIN_SNIPPET(fragment1,Standard Bottom of Body Code)--> <!--toggle--> <script type="text/javascript"> $(function() { $('.toggle a').click(function () { var id = $(this).attr('id'); $('#' + id + ' img').toggleClass('active') $('#toggle-content-container' + id).toggle('slow'); if($('#' + id + ' img').hasClass('active')) { $('#' + id + ' img').attr("src","/fv/groups/internet/documents/web_assets/fv_contract.jpg"); } else { $('#' + id + ' img').attr("src","/fv/groups/internet/documents/web_assets/fv_expand.jpg"); } return false; }); }); </script> <!--//toggle--> <!--google analytics body script--> <script type="text/javascript"> var pageTracker = _gat._getTracker("UA-4223671-1"); pageTracker._trackPageview(); </script> <!--//google analytics body script--> <!-- SS_END_SNIPPET(fragment1,Standard Bottom of Body Code)--> <!-- SS_BEGIN_SNIPPET(fragment3,bottomOfbody)--> <!-- SS_END_SNIPPET(fragment3,bottomOfbody)--></body></html> <!-- FILE ARCHIVED ON 18:53:50 Dec 28, 2010 AND RETRIEVED FROM THE INTERNET ARCHIVE ON 19:45:25 Nov 25, 2024. 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