Additional message
** Do not include optional message **
Here is the information you requested.
Here is the information we talked about.
Here is the information you and your provider discussed.
Thought you would be interested in this information.
Please read/complete before your next appointment.
For your child to fill out.
Please forward to your child's teacher.
Book for follow-up in 1 week.
Book for follow-up in 2 weeks.
Book for follow-up in 1 month.
Call the number in the program listed below to book an intake.
Please book for follow-up if you want to discuss further or have questions.
[#<ActionView::OutputBuffer:0x00007fb18b4ff710 @raw_buffer="<div class='content-wrapper'>\n<h2>Send an Email</h2>\n<p class='space no_indent'>\nYou are about to email a link to:\n<ul>\n<li class='bold'>Patient Intake Form - Multilingual (Burnaby Division, Shared Care)</li>\n</ul>\n</p>\n<p class='space no_indent'>\nPlease note that the recipient's email address is not stored by Pathways, nor will it\nbe used again for any purpose. The email will be sent to the recipient from\n<strong>noreply@pathwaysbc.ca</strong>\nand will not expose your email address to the recipient. Note that\nanyone with access to this recipient's email will be able to visit this link\nand see the content it contains.\n</p>\n<form accept-charset='UTF-8' action='/mail_to_patients/create' class='form-horizontal' method='post' novalidate='novalidate'>\n<input type=\"hidden\" name=\"authenticity_token\" id=\"authenticity_token\" value=\"YHsQ7t0Ll3Cb1BVqLmhIplPFivqfGELWI-hp4RxooEQjnApWj5idZIaJJDCwMpFKsWrkhrU2-1qJvtJeUtRGdg\" autocomplete=\"off\" />\n<input type=\"hidden\" name=\"request_origin\" id=\"request_origin\" autocomplete=\"off\" />\n<div class='control-group'>\n<label class='control-label' for='recipient_email'>Recipient's Email Address</label>\n<div class='controls'>\n<input autocapitalize='none' autocorrect='off' id='recipient_email' name='recipient_email' type='email'>\n</div>\n</div>\n<div class='control-group'>\n<label class='control-label' for='additional_message'>Additional message</label>\n<div class='controls'>\n<select id='additional_message' name='additional_message'>\n<option selected value=''>\n** Do not include optional message **\n</option>\n<option value='Here is the information you requested.'>Here is the information you requested.</option>\n<option value='Here is the information we talked about.'>Here is the information we talked about.</option>\n<option value='Here is the information you and your provider discussed.'>Here is the information you and your provider discussed.</option>\n<option value='Thought you would be interested in this information.'>Thought you would be interested in this information.</option>\n<option value='Please read/complete before your next appointment.'>Please read/complete before your next appointment.</option>\n<option value='For your child to fill out.'>For your child to fill out.</option>\n<option value='Please forward to your child's teacher.'>Please forward to your child's teacher.</option>\n<option value='Book for follow-up in 1 week.'>Book for follow-up in 1 week.</option>\n<option value='Book for follow-up in 2 weeks.'>Book for follow-up in 2 weeks.</option>\n<option value='Book for follow-up in 1 month.'>Book for follow-up in 1 month.</option>\n<option value='Call the number in the program listed below to book an intake.'>Call the number in the program listed below to book an intake.</option>\n<option value='Please book for follow-up if you want to discuss further or have questions.'>Please book for follow-up if you want to discuss further or have questions.</option>\n">, #<ActionView::OutputBuffer:0x00007fb18b4ff710 @raw_buffer="<div class='content-wrapper'>\n<h2>Send an Email</h2>\n<p class='space no_indent'>\nYou are about to email a link to:\n<ul>\n<li class='bold'>Patient Intake Form - Multilingual (Burnaby Division, Shared Care)</li>\n</ul>\n</p>\n<p class='space no_indent'>\nPlease note that the recipient's email address is not stored by Pathways, nor will it\nbe used again for any purpose. The email will be sent to the recipient from\n<strong>noreply@pathwaysbc.ca</strong>\nand will not expose your email address to the recipient. Note that\nanyone with access to this recipient's email will be able to visit this link\nand see the content it contains.\n</p>\n<form accept-charset='UTF-8' action='/mail_to_patients/create' class='form-horizontal' method='post' novalidate='novalidate'>\n<input type=\"hidden\" name=\"authenticity_token\" id=\"authenticity_token\" value=\"YHsQ7t0Ll3Cb1BVqLmhIplPFivqfGELWI-hp4RxooEQjnApWj5idZIaJJDCwMpFKsWrkhrU2-1qJvtJeUtRGdg\" autocomplete=\"off\" />\n<input type=\"hidden\" name=\"request_origin\" id=\"request_origin\" autocomplete=\"off\" />\n<div class='control-group'>\n<label class='control-label' for='recipient_email'>Recipient's Email Address</label>\n<div class='controls'>\n<input autocapitalize='none' autocorrect='off' id='recipient_email' name='recipient_email' type='email'>\n</div>\n</div>\n<div class='control-group'>\n<label class='control-label' for='additional_message'>Additional message</label>\n<div class='controls'>\n<select id='additional_message' name='additional_message'>\n<option selected value=''>\n** Do not include optional message **\n</option>\n<option value='Here is the information you requested.'>Here is the information you requested.</option>\n<option value='Here is the information we talked about.'>Here is the information we talked about.</option>\n<option value='Here is the information you and your provider discussed.'>Here is the information you and your provider discussed.</option>\n<option value='Thought you would be interested in this information.'>Thought you would be interested in this information.</option>\n<option value='Please read/complete before your next appointment.'>Please read/complete before your next appointment.</option>\n<option value='For your child to fill out.'>For your child to fill out.</option>\n<option value='Please forward to your child's teacher.'>Please forward to your child's teacher.</option>\n<option value='Book for follow-up in 1 week.'>Book for follow-up in 1 week.</option>\n<option value='Book for follow-up in 2 weeks.'>Book for follow-up in 2 weeks.</option>\n<option value='Book for follow-up in 1 month.'>Book for follow-up in 1 month.</option>\n<option value='Call the number in the program listed below to book an intake.'>Call the number in the program listed below to book an intake.</option>\n<option value='Please book for follow-up if you want to discuss further or have questions.'>Please book for follow-up if you want to discuss further or have questions.</option>\n">, #<ActionView::OutputBuffer:0x00007fb18b4ff710 @raw_buffer="<div class='content-wrapper'>\n<h2>Send an Email</h2>\n<p class='space no_indent'>\nYou are about to email a link to:\n<ul>\n<li class='bold'>Patient Intake Form - Multilingual (Burnaby Division, Shared Care)</li>\n</ul>\n</p>\n<p class='space no_indent'>\nPlease note that the recipient's email address is not stored by Pathways, nor will it\nbe used again for any purpose. The email will be sent to the recipient from\n<strong>noreply@pathwaysbc.ca</strong>\nand will not expose your email address to the recipient. Note that\nanyone with access to this recipient's email will be able to visit this link\nand see the content it contains.\n</p>\n<form accept-charset='UTF-8' action='/mail_to_patients/create' class='form-horizontal' method='post' novalidate='novalidate'>\n<input type=\"hidden\" name=\"authenticity_token\" id=\"authenticity_token\" value=\"YHsQ7t0Ll3Cb1BVqLmhIplPFivqfGELWI-hp4RxooEQjnApWj5idZIaJJDCwMpFKsWrkhrU2-1qJvtJeUtRGdg\" autocomplete=\"off\" />\n<input type=\"hidden\" name=\"request_origin\" id=\"request_origin\" autocomplete=\"off\" />\n<div class='control-group'>\n<label class='control-label' for='recipient_email'>Recipient's Email Address</label>\n<div class='controls'>\n<input autocapitalize='none' autocorrect='off' id='recipient_email' name='recipient_email' type='email'>\n</div>\n</div>\n<div class='control-group'>\n<label class='control-label' for='additional_message'>Additional message</label>\n<div class='controls'>\n<select id='additional_message' name='additional_message'>\n<option selected value=''>\n** Do not include optional message **\n</option>\n<option value='Here is the information you requested.'>Here is the information you requested.</option>\n<option value='Here is the information we talked about.'>Here is the information we talked about.</option>\n<option value='Here is the information you and your provider discussed.'>Here is the information you and your provider discussed.</option>\n<option value='Thought you would be interested in this information.'>Thought you would be interested in this information.</option>\n<option value='Please read/complete before your next appointment.'>Please read/complete before your next appointment.</option>\n<option value='For your child to fill out.'>For your child to fill out.</option>\n<option value='Please forward to your child's teacher.'>Please forward to your child's teacher.</option>\n<option value='Book for follow-up in 1 week.'>Book for follow-up in 1 week.</option>\n<option value='Book for follow-up in 2 weeks.'>Book for follow-up in 2 weeks.</option>\n<option value='Book for follow-up in 1 month.'>Book for follow-up in 1 month.</option>\n<option value='Call the number in the program listed below to book an intake.'>Call the number in the program listed below to book an intake.</option>\n<option value='Please book for follow-up if you want to discuss further or have questions.'>Please book for follow-up if you want to discuss further or have questions.</option>\n">, #<ActionView::OutputBuffer:0x00007fb18b4ff710 @raw_buffer="<div class='content-wrapper'>\n<h2>Send an Email</h2>\n<p class='space no_indent'>\nYou are about to email a link to:\n<ul>\n<li class='bold'>Patient Intake Form - Multilingual (Burnaby Division, Shared Care)</li>\n</ul>\n</p>\n<p class='space no_indent'>\nPlease note that the recipient's email address is not stored by Pathways, nor will it\nbe used again for any purpose. The email will be sent to the recipient from\n<strong>noreply@pathwaysbc.ca</strong>\nand will not expose your email address to the recipient. Note that\nanyone with access to this recipient's email will be able to visit this link\nand see the content it contains.\n</p>\n<form accept-charset='UTF-8' action='/mail_to_patients/create' class='form-horizontal' method='post' novalidate='novalidate'>\n<input type=\"hidden\" name=\"authenticity_token\" id=\"authenticity_token\" value=\"YHsQ7t0Ll3Cb1BVqLmhIplPFivqfGELWI-hp4RxooEQjnApWj5idZIaJJDCwMpFKsWrkhrU2-1qJvtJeUtRGdg\" autocomplete=\"off\" />\n<input type=\"hidden\" name=\"request_origin\" id=\"request_origin\" autocomplete=\"off\" />\n<div class='control-group'>\n<label class='control-label' for='recipient_email'>Recipient's Email Address</label>\n<div class='controls'>\n<input autocapitalize='none' autocorrect='off' id='recipient_email' name='recipient_email' type='email'>\n</div>\n</div>\n<div class='control-group'>\n<label class='control-label' for='additional_message'>Additional message</label>\n<div class='controls'>\n<select id='additional_message' name='additional_message'>\n<option selected value=''>\n** Do not include optional message **\n</option>\n<option value='Here is the information you requested.'>Here is the information you requested.</option>\n<option value='Here is the information we talked about.'>Here is the information we talked about.</option>\n<option value='Here is the information you and your provider discussed.'>Here is the information you and your provider discussed.</option>\n<option value='Thought you would be interested in this information.'>Thought you would be interested in this information.</option>\n<option value='Please read/complete before your next appointment.'>Please read/complete before your next appointment.</option>\n<option value='For your child to fill out.'>For your child to fill out.</option>\n<option value='Please forward to your child's teacher.'>Please forward to your child's teacher.</option>\n<option value='Book for follow-up in 1 week.'>Book for follow-up in 1 week.</option>\n<option value='Book for follow-up in 2 weeks.'>Book for follow-up in 2 weeks.</option>\n<option value='Book for follow-up in 1 month.'>Book for follow-up in 1 month.</option>\n<option value='Call the number in the program listed below to book an intake.'>Call the number in the program listed below to book an intake.</option>\n<option value='Please book for follow-up if you want to discuss further or have questions.'>Please book for follow-up if you want to discuss further or have questions.</option>\n">, #<ActionView::OutputBuffer:0x00007fb18b4ff710 @raw_buffer="<div class='content-wrapper'>\n<h2>Send an Email</h2>\n<p class='space no_indent'>\nYou are about to email a link to:\n<ul>\n<li class='bold'>Patient Intake Form - Multilingual (Burnaby Division, Shared Care)</li>\n</ul>\n</p>\n<p class='space no_indent'>\nPlease note that the recipient's email address is not stored by Pathways, nor will it\nbe used again for any purpose. The email will be sent to the recipient from\n<strong>noreply@pathwaysbc.ca</strong>\nand will not expose your email address to the recipient. Note that\nanyone with access to this recipient's email will be able to visit this link\nand see the content it contains.\n</p>\n<form accept-charset='UTF-8' action='/mail_to_patients/create' class='form-horizontal' method='post' novalidate='novalidate'>\n<input type=\"hidden\" name=\"authenticity_token\" id=\"authenticity_token\" value=\"YHsQ7t0Ll3Cb1BVqLmhIplPFivqfGELWI-hp4RxooEQjnApWj5idZIaJJDCwMpFKsWrkhrU2-1qJvtJeUtRGdg\" autocomplete=\"off\" />\n<input type=\"hidden\" name=\"request_origin\" id=\"request_origin\" autocomplete=\"off\" />\n<div class='control-group'>\n<label class='control-label' for='recipient_email'>Recipient's Email Address</label>\n<div class='controls'>\n<input autocapitalize='none' autocorrect='off' id='recipient_email' name='recipient_email' type='email'>\n</div>\n</div>\n<div class='control-group'>\n<label class='control-label' for='additional_message'>Additional message</label>\n<div class='controls'>\n<select id='additional_message' name='additional_message'>\n<option selected value=''>\n** Do not include optional message **\n</option>\n<option value='Here is the information you requested.'>Here is the information you requested.</option>\n<option value='Here is the information we talked about.'>Here is the information we talked about.</option>\n<option value='Here is the information you and your provider discussed.'>Here is the information you and your provider discussed.</option>\n<option value='Thought you would be interested in this information.'>Thought you would be interested in this information.</option>\n<option value='Please read/complete before your next appointment.'>Please read/complete before your next appointment.</option>\n<option value='For your child to fill out.'>For your child to fill out.</option>\n<option value='Please forward to your child's teacher.'>Please forward to your child's teacher.</option>\n<option value='Book for follow-up in 1 week.'>Book for follow-up in 1 week.</option>\n<option value='Book for follow-up in 2 weeks.'>Book for follow-up in 2 weeks.</option>\n<option value='Book for follow-up in 1 month.'>Book for follow-up in 1 month.</option>\n<option value='Call the number in the program listed below to book an intake.'>Call the number in the program listed below to book an intake.</option>\n<option value='Please book for follow-up if you want to discuss further or have questions.'>Please book for follow-up if you want to discuss further or have questions.</option>\n">, #<ActionView::OutputBuffer:0x00007fb18b4ff710 @raw_buffer="<div class='content-wrapper'>\n<h2>Send an Email</h2>\n<p class='space no_indent'>\nYou are about to email a link to:\n<ul>\n<li class='bold'>Patient Intake Form - Multilingual (Burnaby Division, Shared Care)</li>\n</ul>\n</p>\n<p class='space no_indent'>\nPlease note that the recipient's email address is not stored by Pathways, nor will it\nbe used again for any purpose. The email will be sent to the recipient from\n<strong>noreply@pathwaysbc.ca</strong>\nand will not expose your email address to the recipient. Note that\nanyone with access to this recipient's email will be able to visit this link\nand see the content it contains.\n</p>\n<form accept-charset='UTF-8' action='/mail_to_patients/create' class='form-horizontal' method='post' novalidate='novalidate'>\n<input type=\"hidden\" name=\"authenticity_token\" id=\"authenticity_token\" value=\"YHsQ7t0Ll3Cb1BVqLmhIplPFivqfGELWI-hp4RxooEQjnApWj5idZIaJJDCwMpFKsWrkhrU2-1qJvtJeUtRGdg\" autocomplete=\"off\" />\n<input type=\"hidden\" name=\"request_origin\" id=\"request_origin\" autocomplete=\"off\" />\n<div class='control-group'>\n<label class='control-label' for='recipient_email'>Recipient's Email Address</label>\n<div class='controls'>\n<input autocapitalize='none' autocorrect='off' id='recipient_email' name='recipient_email' type='email'>\n</div>\n</div>\n<div class='control-group'>\n<label class='control-label' for='additional_message'>Additional message</label>\n<div class='controls'>\n<select id='additional_message' name='additional_message'>\n<option selected value=''>\n** Do not include optional message **\n</option>\n<option value='Here is the information you requested.'>Here is the information you requested.</option>\n<option value='Here is the information we talked about.'>Here is the information we talked about.</option>\n<option value='Here is the information you and your provider discussed.'>Here is the information you and your provider discussed.</option>\n<option value='Thought you would be interested in this information.'>Thought you would be interested in this information.</option>\n<option value='Please read/complete before your next appointment.'>Please read/complete before your next appointment.</option>\n<option value='For your child to fill out.'>For your child to fill out.</option>\n<option value='Please forward to your child's teacher.'>Please forward to your child's teacher.</option>\n<option value='Book for follow-up in 1 week.'>Book for follow-up in 1 week.</option>\n<option value='Book for follow-up in 2 weeks.'>Book for follow-up in 2 weeks.</option>\n<option value='Book for follow-up in 1 month.'>Book for follow-up in 1 month.</option>\n<option value='Call the number in the program listed below to book an intake.'>Call the number in the program listed below to book an intake.</option>\n<option value='Please book for follow-up if you want to discuss further or have questions.'>Please book for follow-up if you want to discuss further or have questions.</option>\n">, #<ActionView::OutputBuffer:0x00007fb18b4ff710 @raw_buffer="<div class='content-wrapper'>\n<h2>Send an Email</h2>\n<p class='space no_indent'>\nYou are about to email a link to:\n<ul>\n<li class='bold'>Patient Intake Form - Multilingual (Burnaby Division, Shared Care)</li>\n</ul>\n</p>\n<p class='space no_indent'>\nPlease note that the recipient's email address is not stored by Pathways, nor will it\nbe used again for any purpose. The email will be sent to the recipient from\n<strong>noreply@pathwaysbc.ca</strong>\nand will not expose your email address to the recipient. Note that\nanyone with access to this recipient's email will be able to visit this link\nand see the content it contains.\n</p>\n<form accept-charset='UTF-8' action='/mail_to_patients/create' class='form-horizontal' method='post' novalidate='novalidate'>\n<input type=\"hidden\" name=\"authenticity_token\" id=\"authenticity_token\" value=\"YHsQ7t0Ll3Cb1BVqLmhIplPFivqfGELWI-hp4RxooEQjnApWj5idZIaJJDCwMpFKsWrkhrU2-1qJvtJeUtRGdg\" autocomplete=\"off\" />\n<input type=\"hidden\" name=\"request_origin\" id=\"request_origin\" autocomplete=\"off\" />\n<div class='control-group'>\n<label class='control-label' for='recipient_email'>Recipient's Email Address</label>\n<div class='controls'>\n<input autocapitalize='none' autocorrect='off' id='recipient_email' name='recipient_email' type='email'>\n</div>\n</div>\n<div class='control-group'>\n<label class='control-label' for='additional_message'>Additional message</label>\n<div class='controls'>\n<select id='additional_message' name='additional_message'>\n<option selected value=''>\n** Do not include optional message **\n</option>\n<option value='Here is the information you requested.'>Here is the information you requested.</option>\n<option value='Here is the information we talked about.'>Here is the information we talked about.</option>\n<option value='Here is the information you and your provider discussed.'>Here is the information you and your provider discussed.</option>\n<option value='Thought you would be interested in this information.'>Thought you would be interested in this information.</option>\n<option value='Please read/complete before your next appointment.'>Please read/complete before your next appointment.</option>\n<option value='For your child to fill out.'>For your child to fill out.</option>\n<option value='Please forward to your child's teacher.'>Please forward to your child's teacher.</option>\n<option value='Book for follow-up in 1 week.'>Book for follow-up in 1 week.</option>\n<option value='Book for follow-up in 2 weeks.'>Book for follow-up in 2 weeks.</option>\n<option value='Book for follow-up in 1 month.'>Book for follow-up in 1 month.</option>\n<option value='Call the number in the program listed below to book an intake.'>Call the number in the program listed below to book an intake.</option>\n<option value='Please book for follow-up if you want to discuss further or have questions.'>Please book for follow-up if you want to discuss further or have questions.</option>\n">, #<ActionView::OutputBuffer:0x00007fb18b4ff710 @raw_buffer="<div class='content-wrapper'>\n<h2>Send an Email</h2>\n<p class='space no_indent'>\nYou are about to email a link to:\n<ul>\n<li class='bold'>Patient Intake Form - Multilingual (Burnaby Division, Shared Care)</li>\n</ul>\n</p>\n<p class='space no_indent'>\nPlease note that the recipient's email address is not stored by Pathways, nor will it\nbe used again for any purpose. The email will be sent to the recipient from\n<strong>noreply@pathwaysbc.ca</strong>\nand will not expose your email address to the recipient. Note that\nanyone with access to this recipient's email will be able to visit this link\nand see the content it contains.\n</p>\n<form accept-charset='UTF-8' action='/mail_to_patients/create' class='form-horizontal' method='post' novalidate='novalidate'>\n<input type=\"hidden\" name=\"authenticity_token\" id=\"authenticity_token\" value=\"YHsQ7t0Ll3Cb1BVqLmhIplPFivqfGELWI-hp4RxooEQjnApWj5idZIaJJDCwMpFKsWrkhrU2-1qJvtJeUtRGdg\" autocomplete=\"off\" />\n<input type=\"hidden\" name=\"request_origin\" id=\"request_origin\" autocomplete=\"off\" />\n<div class='control-group'>\n<label class='control-label' for='recipient_email'>Recipient's Email Address</label>\n<div class='controls'>\n<input autocapitalize='none' autocorrect='off' id='recipient_email' name='recipient_email' type='email'>\n</div>\n</div>\n<div class='control-group'>\n<label class='control-label' for='additional_message'>Additional message</label>\n<div class='controls'>\n<select id='additional_message' name='additional_message'>\n<option selected value=''>\n** Do not include optional message **\n</option>\n<option value='Here is the information you requested.'>Here is the information you requested.</option>\n<option value='Here is the information we talked about.'>Here is the information we talked about.</option>\n<option value='Here is the information you and your provider discussed.'>Here is the information you and your provider discussed.</option>\n<option value='Thought you would be interested in this information.'>Thought you would be interested in this information.</option>\n<option value='Please read/complete before your next appointment.'>Please read/complete before your next appointment.</option>\n<option value='For your child to fill out.'>For your child to fill out.</option>\n<option value='Please forward to your child's teacher.'>Please forward to your child's teacher.</option>\n<option value='Book for follow-up in 1 week.'>Book for follow-up in 1 week.</option>\n<option value='Book for follow-up in 2 weeks.'>Book for follow-up in 2 weeks.</option>\n<option value='Book for follow-up in 1 month.'>Book for follow-up in 1 month.</option>\n<option value='Call the number in the program listed below to book an intake.'>Call the number in the program listed below to book an intake.</option>\n<option value='Please book for follow-up if you want to discuss further or have questions.'>Please book for follow-up if you want to discuss further or have questions.</option>\n">, #<ActionView::OutputBuffer:0x00007fb18b4ff710 @raw_buffer="<div class='content-wrapper'>\n<h2>Send an Email</h2>\n<p class='space no_indent'>\nYou are about to email a link to:\n<ul>\n<li class='bold'>Patient Intake Form - Multilingual (Burnaby Division, Shared Care)</li>\n</ul>\n</p>\n<p class='space no_indent'>\nPlease note that the recipient's email address is not stored by Pathways, nor will it\nbe used again for any purpose. The email will be sent to the recipient from\n<strong>noreply@pathwaysbc.ca</strong>\nand will not expose your email address to the recipient. Note that\nanyone with access to this recipient's email will be able to visit this link\nand see the content it contains.\n</p>\n<form accept-charset='UTF-8' action='/mail_to_patients/create' class='form-horizontal' method='post' novalidate='novalidate'>\n<input type=\"hidden\" name=\"authenticity_token\" id=\"authenticity_token\" value=\"YHsQ7t0Ll3Cb1BVqLmhIplPFivqfGELWI-hp4RxooEQjnApWj5idZIaJJDCwMpFKsWrkhrU2-1qJvtJeUtRGdg\" autocomplete=\"off\" />\n<input type=\"hidden\" name=\"request_origin\" id=\"request_origin\" autocomplete=\"off\" />\n<div class='control-group'>\n<label class='control-label' for='recipient_email'>Recipient's Email Address</label>\n<div class='controls'>\n<input autocapitalize='none' autocorrect='off' id='recipient_email' name='recipient_email' type='email'>\n</div>\n</div>\n<div class='control-group'>\n<label class='control-label' for='additional_message'>Additional message</label>\n<div class='controls'>\n<select id='additional_message' name='additional_message'>\n<option selected value=''>\n** Do not include optional message **\n</option>\n<option value='Here is the information you requested.'>Here is the information you requested.</option>\n<option value='Here is the information we talked about.'>Here is the information we talked about.</option>\n<option value='Here is the information you and your provider discussed.'>Here is the information you and your provider discussed.</option>\n<option value='Thought you would be interested in this information.'>Thought you would be interested in this information.</option>\n<option value='Please read/complete before your next appointment.'>Please read/complete before your next appointment.</option>\n<option value='For your child to fill out.'>For your child to fill out.</option>\n<option value='Please forward to your child's teacher.'>Please forward to your child's teacher.</option>\n<option value='Book for follow-up in 1 week.'>Book for follow-up in 1 week.</option>\n<option value='Book for follow-up in 2 weeks.'>Book for follow-up in 2 weeks.</option>\n<option value='Book for follow-up in 1 month.'>Book for follow-up in 1 month.</option>\n<option value='Call the number in the program listed below to book an intake.'>Call the number in the program listed below to book an intake.</option>\n<option value='Please book for follow-up if you want to discuss further or have questions.'>Please book for follow-up if you want to discuss further or have questions.</option>\n">, #<ActionView::OutputBuffer:0x00007fb18b4ff710 @raw_buffer="<div class='content-wrapper'>\n<h2>Send an Email</h2>\n<p class='space no_indent'>\nYou are about to email a link to:\n<ul>\n<li class='bold'>Patient Intake Form - Multilingual (Burnaby Division, Shared Care)</li>\n</ul>\n</p>\n<p class='space no_indent'>\nPlease note that the recipient's email address is not stored by Pathways, nor will it\nbe used again for any purpose. The email will be sent to the recipient from\n<strong>noreply@pathwaysbc.ca</strong>\nand will not expose your email address to the recipient. Note that\nanyone with access to this recipient's email will be able to visit this link\nand see the content it contains.\n</p>\n<form accept-charset='UTF-8' action='/mail_to_patients/create' class='form-horizontal' method='post' novalidate='novalidate'>\n<input type=\"hidden\" name=\"authenticity_token\" id=\"authenticity_token\" value=\"YHsQ7t0Ll3Cb1BVqLmhIplPFivqfGELWI-hp4RxooEQjnApWj5idZIaJJDCwMpFKsWrkhrU2-1qJvtJeUtRGdg\" autocomplete=\"off\" />\n<input type=\"hidden\" name=\"request_origin\" id=\"request_origin\" autocomplete=\"off\" />\n<div class='control-group'>\n<label class='control-label' for='recipient_email'>Recipient's Email Address</label>\n<div class='controls'>\n<input autocapitalize='none' autocorrect='off' id='recipient_email' name='recipient_email' type='email'>\n</div>\n</div>\n<div class='control-group'>\n<label class='control-label' for='additional_message'>Additional message</label>\n<div class='controls'>\n<select id='additional_message' name='additional_message'>\n<option selected value=''>\n** Do not include optional message **\n</option>\n<option value='Here is the information you requested.'>Here is the information you requested.</option>\n<option value='Here is the information we talked about.'>Here is the information we talked about.</option>\n<option value='Here is the information you and your provider discussed.'>Here is the information you and your provider discussed.</option>\n<option value='Thought you would be interested in this information.'>Thought you would be interested in this information.</option>\n<option value='Please read/complete before your next appointment.'>Please read/complete before your next appointment.</option>\n<option value='For your child to fill out.'>For your child to fill out.</option>\n<option value='Please forward to your child's teacher.'>Please forward to your child's teacher.</option>\n<option value='Book for follow-up in 1 week.'>Book for follow-up in 1 week.</option>\n<option value='Book for follow-up in 2 weeks.'>Book for follow-up in 2 weeks.</option>\n<option value='Book for follow-up in 1 month.'>Book for follow-up in 1 month.</option>\n<option value='Call the number in the program listed below to book an intake.'>Call the number in the program listed below to book an intake.</option>\n<option value='Please book for follow-up if you want to discuss further or have questions.'>Please book for follow-up if you want to discuss further or have questions.</option>\n">, #<ActionView::OutputBuffer:0x00007fb18b4ff710 @raw_buffer="<div class='content-wrapper'>\n<h2>Send an Email</h2>\n<p class='space no_indent'>\nYou are about to email a link to:\n<ul>\n<li class='bold'>Patient Intake Form - Multilingual (Burnaby Division, Shared Care)</li>\n</ul>\n</p>\n<p class='space no_indent'>\nPlease note that the recipient's email address is not stored by Pathways, nor will it\nbe used again for any purpose. The email will be sent to the recipient from\n<strong>noreply@pathwaysbc.ca</strong>\nand will not expose your email address to the recipient. Note that\nanyone with access to this recipient's email will be able to visit this link\nand see the content it contains.\n</p>\n<form accept-charset='UTF-8' action='/mail_to_patients/create' class='form-horizontal' method='post' novalidate='novalidate'>\n<input type=\"hidden\" name=\"authenticity_token\" id=\"authenticity_token\" value=\"YHsQ7t0Ll3Cb1BVqLmhIplPFivqfGELWI-hp4RxooEQjnApWj5idZIaJJDCwMpFKsWrkhrU2-1qJvtJeUtRGdg\" autocomplete=\"off\" />\n<input type=\"hidden\" name=\"request_origin\" id=\"request_origin\" autocomplete=\"off\" />\n<div class='control-group'>\n<label class='control-label' for='recipient_email'>Recipient's Email Address</label>\n<div class='controls'>\n<input autocapitalize='none' autocorrect='off' id='recipient_email' name='recipient_email' type='email'>\n</div>\n</div>\n<div class='control-group'>\n<label class='control-label' for='additional_message'>Additional message</label>\n<div class='controls'>\n<select id='additional_message' name='additional_message'>\n<option selected value=''>\n** Do not include optional message **\n</option>\n<option value='Here is the information you requested.'>Here is the information you requested.</option>\n<option value='Here is the information we talked about.'>Here is the information we talked about.</option>\n<option value='Here is the information you and your provider discussed.'>Here is the information you and your provider discussed.</option>\n<option value='Thought you would be interested in this information.'>Thought you would be interested in this information.</option>\n<option value='Please read/complete before your next appointment.'>Please read/complete before your next appointment.</option>\n<option value='For your child to fill out.'>For your child to fill out.</option>\n<option value='Please forward to your child's teacher.'>Please forward to your child's teacher.</option>\n<option value='Book for follow-up in 1 week.'>Book for follow-up in 1 week.</option>\n<option value='Book for follow-up in 2 weeks.'>Book for follow-up in 2 weeks.</option>\n<option value='Book for follow-up in 1 month.'>Book for follow-up in 1 month.</option>\n<option value='Call the number in the program listed below to book an intake.'>Call the number in the program listed below to book an intake.</option>\n<option value='Please book for follow-up if you want to discuss further or have questions.'>Please book for follow-up if you want to discuss further or have questions.</option>\n">, #<ActionView::OutputBuffer:0x00007fb18b4ff710 @raw_buffer="<div class='content-wrapper'>\n<h2>Send an Email</h2>\n<p class='space no_indent'>\nYou are about to email a link to:\n<ul>\n<li class='bold'>Patient Intake Form - Multilingual (Burnaby Division, Shared Care)</li>\n</ul>\n</p>\n<p class='space no_indent'>\nPlease note that the recipient's email address is not stored by Pathways, nor will it\nbe used again for any purpose. The email will be sent to the recipient from\n<strong>noreply@pathwaysbc.ca</strong>\nand will not expose your email address to the recipient. Note that\nanyone with access to this recipient's email will be able to visit this link\nand see the content it contains.\n</p>\n<form accept-charset='UTF-8' action='/mail_to_patients/create' class='form-horizontal' method='post' novalidate='novalidate'>\n<input type=\"hidden\" name=\"authenticity_token\" id=\"authenticity_token\" value=\"YHsQ7t0Ll3Cb1BVqLmhIplPFivqfGELWI-hp4RxooEQjnApWj5idZIaJJDCwMpFKsWrkhrU2-1qJvtJeUtRGdg\" autocomplete=\"off\" />\n<input type=\"hidden\" name=\"request_origin\" id=\"request_origin\" autocomplete=\"off\" />\n<div class='control-group'>\n<label class='control-label' for='recipient_email'>Recipient's Email Address</label>\n<div class='controls'>\n<input autocapitalize='none' autocorrect='off' id='recipient_email' name='recipient_email' type='email'>\n</div>\n</div>\n<div class='control-group'>\n<label class='control-label' for='additional_message'>Additional message</label>\n<div class='controls'>\n<select id='additional_message' name='additional_message'>\n<option selected value=''>\n** Do not include optional message **\n</option>\n<option value='Here is the information you requested.'>Here is the information you requested.</option>\n<option value='Here is the information we talked about.'>Here is the information we talked about.</option>\n<option value='Here is the information you and your provider discussed.'>Here is the information you and your provider discussed.</option>\n<option value='Thought you would be interested in this information.'>Thought you would be interested in this information.</option>\n<option value='Please read/complete before your next appointment.'>Please read/complete before your next appointment.</option>\n<option value='For your child to fill out.'>For your child to fill out.</option>\n<option value='Please forward to your child's teacher.'>Please forward to your child's teacher.</option>\n<option value='Book for follow-up in 1 week.'>Book for follow-up in 1 week.</option>\n<option value='Book for follow-up in 2 weeks.'>Book for follow-up in 2 weeks.</option>\n<option value='Book for follow-up in 1 month.'>Book for follow-up in 1 month.</option>\n<option value='Call the number in the program listed below to book an intake.'>Call the number in the program listed below to book an intake.</option>\n<option value='Please book for follow-up if you want to discuss further or have questions.'>Please book for follow-up if you want to discuss further or have questions.</option>\n">]