Foundation / Washington Regional Medical Foundation Donation Form
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Washington Regional Medical Foundation Donation Form

Donor Information

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Gift Designation

Gifts may be designated for any area within Washington Regional Medical System. Gifts without designation will support the area of greatest need.

Memorial and Tribute Information



Please Send Acknowledgement of My Gift To:

Grateful Patient




CAPTCHA

Washington Regional Medical Foundation is a 501(c)(3) organization, tax ID# 71-0664685. Your donation is tax-deductible as allowed by law. Gifts may be designated for any area within Washington Regional Medical System. Gifts without designation will support the area of greatest need.

For questions or to contact Washington Regional Medical Foundation, you may call 479.463.4483 or email foundation@wregional.com.