Southwest Washington Medical Center



 
 
Southwest Woman Request
Decrease (-) Restore Default Increase (+) Font Size

Welcome to Southwest Woman. Check the items you want, and we'll do the rest.

Offers from Southwest Woman are limited to residents of southwest Washington and northwest Oregon states.

Read Southwest Woman, the magazine



* Indicates required information
First Name * 
Last Name * 
Street Address 1 * 
Street Address 2 
City * 
State * 
Zip * 
Email Address 
Telephone number 
Birthdate (Assists with our recordkeeping) 
Please ENTER MY NAME IN THE DRAWING to win a copy of Quick & Healthy Low-Fat, Carb-Conscious Cooking" Cookbook * 
Please SEND ME: (check as many as you wish) 




If Other, please specify:

Please ASK A HEALTHCARE EXPERT my question: 
I am interested in joining the Southwest Women Membership Program * 
WE WANT TO HEAR FROM YOU – Did you find the health information useful? * 

If Other, please specify:

Did you find the magazine visually appealing? * 

If Other, please specify:

Did you learn something new? * 

If Other, please specify:

Will you follow up with your doctor on any of the health topics presented? * 

If Other, please specify:

Did the magazine inspire you to make healthier lifestyle choices? * 

If Other, please specify:

Would you read future issues of Southwest Woman? * 

If Other, please specify: