Thank You!

Gifts to Hartford Hospital support programs and services that are vital to our community.

Every gift truly makes a difference.
Please note that Hartford Hospital's fiscal year is October 1 - September 30. 

 

Donation Information
Contributions directed to Areas of Greatest Need will provide an unrestricted gift that can put to immediate use wherever it’s needed most — including enhancing programs and services that lead to better care for every single one of our patients.
Amount:	$     *
Designation:	Headache Center LIFE STAR Air Ambulance Bone & Joint Institute Palliative Care Institute of Living Henry Low Heart Center Fund Helen & Harry Gray Cancer Center Fund Areas of Greatest Need
Additional Information (Optional)
If this gift is from a group or organization, please leave that information in the comment 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 Mailing Information
Please use "Comments" section above to list additional donors.
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	*
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ZIP:		*
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Payment Information
Cardholder's Name:		*
Credit Card Number:		*
Card Type:	American Express Diners Club Discover MasterCard Visa	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033	*
Card Security Code:		*
Matching Gifts
	My company will match my gift
Company:		*
Tribute Information (Optional)
Please provide us with the name of the person whom the gift is in memory or or in honor of:
Type:	in memory of in honor of	*
Name:		*
First name:
Last name:		*
	Mail a letter on my behalf	*

Please note: Hartford Hospital does not sell, trade or share a donor's personal information with any other entity, nor does Hartford Hospital send donor mailings on behalf of other organizations. Please refer to our privacy policy for more information.