Dartmouth Health

Your gift will help fund the treatments, innovations, and support services that mean so much when you or the people you love need the best care. Thank you for your generosity.

Please indicate the fund number you would like to support in the form below. If this is in memory of or in honor of someone, please be sure to complete the Memorial and Honorary Gifts section at the bottom of this form.

Matching Gifts: If your employer will match your gift, please submit the matching gift form to Medical & Healthcare Advancement, One Medical Center Drive, HB 7070, Lebanon, NH 03756

Recurring Monthly Gifts: If you would like to pledge a recurring monthly gift, please call Medical & Healthcare Advancement at (603) 653-0700 or email DH-Geisel.Gift.Recording@hitchcock.org