Thank you for your interest in the Methodist Center for Restorative Pelvic Medicine. Use this form to:
- submit a general question to our specially trained nurse
- request more information about the Center
- request more information about an educational event you recently attended
- recommend a topic for future educational events
- submit a comment about the service you recently received at the Center
To protect your privacy, all of our online forms are encrypted and stored in a secure location. Please note that while our forms are secure, any communication via e-mail may not be secure, so please consider that when selecting a way for us to contact you. If you select phone or e-mail as your preferred method of contact, every effort will be made to return your request by the next business day. A response to your request via postal mail may take up to 10 business days to receive.