Contact Us

Thank you for your interest in Alton Memorial Hospital. We'd be happy to answer any
questions you may have about about our hospital.

Please give us some information about yourself, so we can contact you. We need your
name and either: your full address , your email address or your phone number. Please
double-check the accuracy of the information you provide to ensure we'll be able to
reach you within 48 hours of our next business day.

In addition, a narrative window is provided for you to tell us the nature of your interests.
It's not required, but please feel free to let us know your questions or comments


e-mail address:  

*first name  

*last name  

*address  

*city  

*state  

*ZIP/Postal  -       

*telephone  

*date of birth
 (mm/dd/yyyy)


*special area of interest  

*you may email information to me.

Comments or Questions

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