Neurological Diseases Research and Patient Support

Thank you for your gift. Your generosity is a gift of hope to all those affected by devastating neurological diseases such as ALS, Alzheimer’s, Epilepsy, Multiple Sclerosis, and Parkinson’s, and stroke.

Donation information
$     *
ALS Research Fund
Additional information
Billing information
*
*
*
*
*
*
*
*
*
*
Payment information
All donations are tax deductible to the fullest extent allowable by law. Fundraising is conducted by Dartmouth-Hitchcock Health (EIN#26-4812335), a 501(c)3 charity recognized by the IRS. Your gift will appear on your credit card statement as a payment to “DHealth Giving.”
*
*
  *
*
help *
Additional security
This is a security measure to help prevent fraud.
Memorial and honorary gifts
Is your gift in memory of or in honor of someone? If so, please complete this section.

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