Perinatal Addiction Treatment Program

Thank you for your gift. The Perinatal Addiction Treatment Program provides comprehensive care and support to pregnant and postpartum women with substance use disorders and their newborns.

If this is a gift in memory of or in honor of someone, please complete the Memorial and Honorary Gifts section at the bottom of this form.

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Fundraising activities on behalf of Mary Hitchcock Memorial Hospital (MHMH) is conducted by Dartmouth-Hitchcock Health, a 501(c)(3) recognized charity by the IRS (EIN#26-4812335), for the benefit of MHMH. Your gift will appear on your credit card statement as a payment to "D-HHealth Donation".

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