Donation Information

Donation Amount*
$
Fund*
  • Area of Greatest Need
  • Building Fund - Improvements/New Construction
  • Community Health & Wellness Funds
  • Endowment Funds
  • Equipment & Technology
  • Recruitment - Physicians & Health Care Personnel
  • Scholarship, Training & Education Fund

Donor Recognition

The Chase County Hospital Foundation publicly thanks those who support our work.  We also respect the privacy of indivduals who may not wish to have their generosity publically recognized. If this is you please document in the Additional Information box below.  Thank you.

Contact Information

Country*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
After you complete this form, select Submit to enter your payment details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.

Additional Information

Additional Comments
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