Palo Alto Medical Foundation

HONOR YOUR CAREGIVER

Tribute gifts are a thoughtful way of honoring a physician, nurse or caregiver that have made a positive impact on your care. Your generous contribution will be used to make a difference in the lives of the countless patients in our community.

For further assistance or to make your donation over the phone, please call 650-853-4808, Monday through Friday from 8:00am to 5:00pm.

You may also mail your generous gift to Palo Alto Medical Foundation, 795 El Camino Real, Palo Alto, CA 94301

Your Donation

Donation Option*

One-Time Monthly

per month

Donation Amount*

Donation Amount*

$ /

Maximum Amount to Donate (Optional)

$ Total

Designation*

Please select one item from menu… PAMF Alameda Fund for Excellence (Area of Greatest Need) PAMF Camino Fund for Excellence (Area of Greatest Need) PAMF Palo Alto Fund for Excellence (Area of Greatest Need) PAMF Santa Cruz Fund for Excellence (Area of Greatest Need) PAMF Physician Well-Being PAMF Research Institute Fund for Excellence Sutter Maternity and Surgery Center Fund

I would like this gift to remain anonymous.

Anonymous

This gift can be made in honor of a caregiver.*

Not a tribute (Please ignore all fields below) In honor of

Caregiver to Honor (Full Name) “Enter multiple names here if you wish to honor an additional caregiver”

Caregiver(s) Location/Department

Message (to be shared with caregiver(s)

Yes, please contact me to discuss giving opportunities through my will or trust.

Planned Giving

Corporate Giving

Individual Gift Gift on behalf of my company

Employer Name

Company Name

Payment

Payment Method*

{accountType} ending in {accountLastFour}

{accountType} ending in {accountLastFour}

Choose a different way to pay

Choose a different way to pay

Contact Details

Name*

First Name

Last Name

Show my name as (Optional)

Email Address*

Privacy

Placeholder (HddnFld)

Donate with Credit Card

Donate {amount}

Donate with Bank Account Venmo