Adding an email through this form will initiate a series of three emails to the specified email address to share more information about the Retreat with the individual who requested information. Each email will encourage the recipient to contact the specialty admissions team (providerrelations@sheppardpratt.org) with questions. The first email will be sent immediately and the additional two emails will be sent at 30 day intervals. 

If you make contact with an individual who has been referred, please use the second form below so the individual can be removed from the campaign. 

Questions? Please contact Seth Troy seth.troy@sheppardpratt.org.

This secure form is HIPAA compliant. This process aligns with Sheppard Pratt's privacy policy. 

Please enter the email address of the individual you wish to receive automated emails.
Please enter the contacts first name. Emails will be personalized with the first name
Please enter the contacts last name
Please enter the name of the person submitting this form

 

 

If an individual in the campaign has made contact, please enter their email address below to remove them from the campaign. 

Please include the complete email address of the prospect who should be removed from the email campaign
Please specify who is providing this information