List Removal - Fairview Health Services
 
Print
List removal

Email and Mail List Removal Form

If you are a patient, please note that state and federal guidelines require us to contact you in some instances regarding your care. You can not opt out of this kind of health-related communication.

Please fill out the form below to be removed from our promotional mailings and emails. Allow us one month to honor your request. If you later decide to receive promotional information from Fairview, fill out our contact form.



First Name  
Last Name  
Address  
State  
Zip  
Email  
Phone Number (Format XXX-XXX-XXXX)  
Comments  
 
 Visit Other Fairview Sites 
 
 
(c) 2012 Fairview Health Services. All rights reserved.