Carroll Hospital Foundation

Pay tribute to a caregiver who has enriched your life, while helping to provide essential resources for a healthier tomorrow.

Our Champions of Care program offers you the opportunity to honor a doctor, nurse, aide, social worker, chaplain or other caregiver who has touched your life in an important way. Your Champion of Care will receive a special letter informing them of your thoughtful gift (no amounts are shared), and their name will be displayed on our website as well as in hospital publications. In addition, each Champion of Care will receive a special lapel pin to wear proudly, identifying them as a Champion of Care.

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Gift Information

One-Time Monthly

Consider giving monthly

$1,000 $500 $200 $150 $100 $50 $25 Other $

I'd like to make this contribution in honor of of:

In honor of

In honor of In memory of

Champion of Care Name:

Champion of Care Message

A message will be sent to the recipient to inform them of your contribution (no amount will be shared). Customize the notification by adding a personal message to your Champion of Care. You may add more than one message if necessary.

Message (Optional)

Contact Information

First Name Last Name

Street Address

Postal Code City State

Email Home Phone (Optional) Mobile Phone (Optional)

Yes, sign me up for email updates.

(Optional)

Payment Information

Card Number

Expiration Date

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Additional Information

I would like to designate my gift to the following:

Other

I would prefer to remain anonymous

If on behalf of an organization, please include the organization's name here (Optional)

Your donation will be securely processed.

200 Memorial Avenue, Westminster, MD 21157
Phone: (410) 871-6200
Email: carrollfoundation@lifebridgehealth.org

To learn more, visit us at www.carrollhospitalfoundation.org
Tax ID: 52-1115038

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