Make a Donation

For general donations, fill out the form below.

We genuinely appreciate your tax-deductible contribution to Regional Medical Center, your local not-for-profit 501(c)(3) critical access hospital. Giving financially is a very personal decision made by each individual, family, and community. Together, one dollar at a time, we can make a difference to those we serve.

Please tell us how you want your gift to be used. You may support a specific department, facility improvements, or honor a loved one. To learn more about other ways to give, please click here.

All online gifts will be processed within 72 hours and an acknowledgement letter will be sent to the address provided
 

Donor Information

(Items in red are required.)
First Name
Last Name
Address
City
State
Zip
Telephone
Email Address
I would like my gift to go towards (please select one)

To learn more about other funding opportunities at RMC, please click here.
If other, please specify

Recognition/Honor Gift (Optional)

To learn more about the criteria for donor recognition on The Giving Wall at RMC, please click here.

May we publicly recognize you as a donor, without mentioning the amount of your gift?
How should your name(s) be listed for recognition?
This gift is in of
A gift made in memory or in honor of a friend or family member is a great way to pay tribute to someone living or deceased. If this gift is made in honor or in memory of someone, please provide a name and address to whom we can send an acknowledgement letter.
First Name
Last Name
Address
City
State
Zip
Telephone
Email Address

Payment Method

To make a pledge or learn more about other forms of payment, please click here.

Donation Amount
Credit Card Type
Credit Card Number
Expiration Date
CVV Code
 


Learn More

To learn more about how to make a charitable contribution contact Donor Relations. RMC is a not-for-profit 501(c)(3) hospital. All gifts are tax-deductible to the extent allowed by law. All gifts are deductible on the income tax returns for the year in which the gift is given.

We accept the following Credit Cards:

  • American Express
  • Discover
  • Mastercard
  • Visa

Security

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