It automatically outputs a report in access to rtf format and saves it in a folder. It then sends it from that folder. Here are the last two lines of the code.
DoCmd.OutputTo acOutputReport, Report, acFormatRTF, "C:\Access Database\" & Report & ".rtf"
' Send report
Shell """" & "C:\Access Database" & "\sendEmail.exe"" -s " & Server & " -f " & Sender & " -t " & Recipient & " -u """ & Subject & """ -m """ & Message & """ -a """ & "C:\Access Database" & "\" & Report & ".rtf" & """", vbHide