Donate Online Home » Ways to Give » Donate Online Share This Form + * = Required Field Contact Information Title Mr. Mrs. Miss Ms. Dr. First Name * Last Name * Address * City * State * Zip * Country Phone * Email * Employer Occupation I would like to receive your e-Newsletter. Gift Information Your Investment Will Save Lives $25 provides glucose test strips to screen 25 people living in poverty for diabetes $40 provides medicine for 10 patients during a primary care mobile clinic $60 offers creatinine strips to test the kidney function of 10 individuals at risk of kidney disease $150 supports the monthly stipend of a community health worker $400 offers fistula surgery for a patient on dialysis to reduce the risk of infection $1,000 supports trip logistics for a Bridge of Life medical mission team $2,500 provides comprehensive clinical training for a local dialysis clinic’s medical team Gift Amount $25 $40 $60 $150 $1,000 $2,500 Other Amount$ Make this gift * One-Time Quarterly Semi-Annually Monthly Gift Designation * Bridge of Life General Fund Kidney Care Program Primary Care Program Prevention & Education Program Kids' Camps Program I prefer to make my donations anonymously. This donation is on behalf of a company. Company Name Tribute Information This gift is in honor or memory of someone special: This Gift is - Please Select - in memory of in honor of Subclass 1 --- General Gifts - 830 Unsolicited Memorial gifts - 790 Memorial Donations Honor gifts - 800 Honor Donations Honoree Name Mail a letter on my behalf to the following person: Full Name Address City State Postal Code Country Phone Email Send a gift note to the honoree's family: Gift Note Payment Information Card Type * Visa MasterCard Discover American Express Card Number * (No Dashes or Spaces) CVV2 * CVV2 Information Expiration Month * Expiration Year * Comments Feel free to leave us a message. Please tell us how you heard about our site - Please Select - Tour DaVita eNewsletter DaVita HealthCare Partners Memorial Gift Online Search A Volunteer Other Security Code Type the text shown in the box into the field below. All characters must be entered in UPPERCASE. Bridge of Life is a nonprofit organization founded by DaVita, Inc. and operating under DaVita Village Trust, Inc., a 501(c)(3) public charity. The Federal EIN is 46-2960097. Powered by eTapestry.com.