Eastern Shore Rural Health

For your convenience, please complete this form for Eastern Shore Rural Health patients to provide feedback on your experience. We appreciate your questions, comments, or concerns. We make every effort to follow up on completed forms within 48-72 business hours of submission.  For Urgent medical matters, please call 911, visit the closet Emergency Department or Express Care.

For Non-Urgent Medical Matters, please message through the private Patient Portal.

For General inquiries, please feel free to use the contact form below.

DISCLAIMER: Please do NOT disclose any patient sensitive information. Submissions of this form are NOT confidential. Private patient information should ONLY be sent through the Patient Portal or by calling the health center directly. For patient specific medical information we would encourage you to contact us via your Patient Portal. If you need a more immediate response, please call the center (during business hours) at the phone numbers listed below and ask to speak with the center manager. For emergencies call 911 immediately.