On The Desktop > Attachments area, there is a button to "Create Reminder". It would be nice if this screen also allowed the user to "Create Mail Message" from the currently selected attachment. This is for asking the recipient to perform an action. For instance, if the provider receives an attachment from an outside specialist and needs to ask their nurse to schedule a lab order or any other action, they wouldn't need to forward the actual attachment itself. Also, if this would be something that would require a response from the recipient, it would be easily facilitated by using the Mail option rather than the forward.