Make Your Gift Today - University Hospitals

Thank you for your gift.

Choose Your Gift Amount

Field Is Required Select Gift Amount:

$25.00

$50.00

$100.00

$250.00

$500.00

$1,000.00

Other Amount

Enter amount

Make this a monthly recurring gift.

Your donation will be made today and on the same day every month. You may cancel or change this amount at any time.

Select A Gift Designation

Designate My Gift To Help

Field Is Required Gift Designation:

Use my gift where it is needed most.

Direct my gift to:

Other Gift Designation:

This is a tribute gift.

Credit Card Information

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Your Information

Email Address:

Yes, I would like to receive or continue to receive news and updates by email from University Hospitals.

Make this gift on behalf of an organization

Organization Name:

Title:

First Name:

Middle Name:

Last Name:

Address 1:

Address 2:

City:

State / Province:

ZIP / Postal Code:

Country:

Donor Recognition Name

ADDITIONAL COMMENTS

Tribute Information

My gift is

FIRST NAME

Last Name

How would you like this gift to be acknowledged?

Please send a mailed notification.

Do not send a notification of this gift.

Please send a mailed notification to

Card Recipient First Name:

Card Recipient Last Name:

RELATION TO HONOREE

Address 1

Address 2

City:

State / Province:

ZIP / Postal Code:

Country:

I would like to send an e-card to

Yes, Send an eCard Yes, I would like to send an eCard.

Recipient email addresses:

Select an eCard:

Blank Stationery - USE THIS ONE

eCard Subject:

eCard Message:

After submitting your information, you’ll receive an email confirmation and a receipt by mail detailing your tax-deductible contribution.

Physicians and Employees

Use this form to make a one-time gift today or make your gift through payroll deduction.

Give by Mail

If you prefer to mail a check, please use the following address:

University Hospitals
Institutional Relations & Development
P.O. Box 94554
Cleveland, OH 44101-4554

Have Questions?

Contact us by phone at 216-983-2200.

Email us at UHGiving@UHhospitals.org