Thanks Vice, that does seem to be the problem. I changed the security on the specific file and it did flow through.

Thanks Eduard, simple HTML answer, I appreciate it!

Jeffrey this works!

I will be making variations on this as we have 49 unique locations to populate automatically in the body of the email message.  However, my test went through.  To come full circle, if anyone else is looking for something like this... We are sending out "How are we doing surveys" after a clinical appointment with our Hospital and outpatient services. Based on a patient email, and the location in which they were seen, they will receive the survey (embedded in a URL).

Thanks!