To get a request played on Hospital Radio, please complete as much of the following form as possible - and click the submit button at the bottom. Your completed form will be sent to the studios and the request played on air.
The request is for
Me A friend A Family Member
What is your name?
What is the name of the person for whom the request is made?
Which Hospital / Ward?
Queen Alexandra Hospital St Mary's Hospital Haslar / Gosport War Memorial
Ward Name / Number
Singer / Artist
Title
Portsmouth Hospital Broadcasting's record library is fairly large - but not perfect. If we don't have the request you have made above - please select one of the following options. If you have a special request - include it in the message box below.
Play the same song by different singer/group Play different song by same singer/group See comments box
Any message to be read before/after the request is played?
Tell us how to get in touch with you:
