Foundation for Healthy Communities of the Ohio Hospital Association

Ways to Give

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Donations

Give Now

Make a donation to support the Foundation's overall mission of preventative care and community wellness.

Your contribution will support hospital programs that promote healthy lifestyles, prevent illness, disease and injury and improve community health status throughout Ohio.

To make a donation, simply fill out this form, print the results and mail it to the address below.

Donation Form
Please make checks payable to: The Foundation for Healthy Communities 155 East Broad Street, 15th Floor Columbus, Ohio 43215
Gift Information

$15	$25	$50	$100	Other
Please use my gift for:			Hospitals as the Healthiest Workplaces
			Grant Outcome Research & Evaluation
			Adopt A Hospital
			Community Wellness Program
			General Administrative Costs
This gift is in honor of:
This gift is in memory of:
The names will be printed in our quarterly newsletter
Please send a notification of this contribution to:
by email:
by mail:
Address:
Address2:
City:
State/Province
Zip:
Country:
Contact Information

*First Name:
*Last Name:
*Address:
*Address2:
*City:
*State/Province
*Country:
*Zip:
*Email Address:
please add me to the Healthy Communities newsletter email list
Daytime Phone:
Evening Phone:

No personal information submitted to Healthy Communities will be sold to third parties.

Thank you for your support of the Foundation for Healthy Communities.

As no goods or services have been received, your donation is completely tax-deductible.

The Foundation for Healthy Communities is a 501(c)3 organization.

155 East Broad Street, Floor 15 | Columbus, Ohio 43215-3620 | (614) 221-7614 | (614) 221-4771 Fax