COVID-19: We Are in This TOGETHER

Caregivers, advisors, friends, angels, heroes. We also call them Hartford Hospital colleagues. We have received many inquiries from individuals and businesses in the community that want to show appreciation to our caregivers for selflessly stepping up to meet the challenges of COVID-19. Our colleagues on the front lines are working around the clock to keep all of us safe. You can help the hospital and our colleagues in this crisis by making a charitable donation to the Hartford HealthCARES Colleague Assistance Fund. Gifts to the Hartford HealthCare Colleague Assistance Fund will support Hartford HealthCare colleagues who are experiencing financial hardships or facing a crisis and may need additional support during these unprecedented times.

Show our colleagues that you have their back. Your support during this time is invaluable.

 

Donation Information
Amount:	$ 5,000.00 $ 2,500.00 $ 1,000.00 $ 500.00 $ 100.00 Other $     *
Additional Information (Optional)
Please leave any additional information you'd like us to know about your gift in the comments box.
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Corporate:	This donation is on behalf of a company
Anonymous:	I prefer to make this donation anonymously
Comments:
Donor Information
Title:	<Please select> Miss Mr. Mrs. Ms. Admiral Ambassador Archbishop Attorney Brother C.L.U. Capt. Cmdr. Col. Colonel Dr. Drs. Estate of Family of Father Friend Friends of General Governor Honorable Judge Lt. Lt. Col. Madam Major Master Misses MSGT. Prof. Rabbi Rev. Rev. Dr. Rev. Fr. Reverend Senator Sir Sir/Madam Sister The Honorable The	*
First name:		*
Last name:		*
Country:	Australia Canada Greece Japan United Kingdom United States Spain	*
Address lines:		*
City:		*
State:	<Please Select> New AA AB AE AK AL AP AR AS AZ BC CA CAN CO CT CZ DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MP MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE PR PW QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT	*
ZIP:		*
Phone:
Email:		*
Payment Information
Cardholder's Name:		*
Credit Card Number:		*
Card Type:	American Express Discover MasterCard Visa	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041	*
Card Security Code:		*
Matching Gifts (Optional)
If your employer has a matching gift program and you'd like to match your gift to Hartford Hospital, please check the box below and provide your company name.
	My company will match my gift
Company:		*
Additional Security
This is a security measure to help prevent fraud.
Unable to load the reCAPTCHA image. The public key (6LcffTQeAAAAALkZg2ij08GaImDwASnOKe-gaNSh) might be invalid for this domain. reCAPTCHATM Enter the text: Type what you hear: * Get a new challenge  |  Get an audio challenge Get a visual challenge
Tribute Information (Optional)
Please provide us with the name of the individual or department whom the gift is in honor/memory of. Unless your gift is anonymous, we will notify the individual or next of kin of your donation (we do not disclose dollar amount). Please disregard the "mail a letter on my behalf" checkbox.
Type:	in memory of in honor of	*
Name:		*
First name:
Last name:		*
	Mail a letter on my behalf	*