For 24/7 care, call us at (315) 781-8448. Hearing/speech disabilities, please call 711.

This is a test of a fillable PDFs in various download states. 

This PDF has its SUBMIT button programmed when clicked to open your email client, add a “to:” email address, and insert a subject line.

This PDF has its SUBMIT button programmed when clicked to open your email client, add a “to:” email address, and NOT insert a subject line.

JotForm Sample:

Online here: https://form.jotform.com/230526523876056

Or below is the embedded form sample.