DONATIONS ONLINE STEP ONE OF THREE

Because of the in-kind products and services donated by businesses in the community along with the many medical professionals who volunteer their time and services, your monetary donation goes a long way in providing care for our patients.

A $25 donation will provide care for 2 dental patient appointments.

A $50 donation will supplement lab supplies for 20 lab patient visits.

A $100 donation will supplement diabetic supplies and medications for 3 diabetic patients for an entire year.

A $250 donation will provide care for 3 patient visits.

A $500 donation will supplement diabetic supplies and medications for 15 diabetic patients for an entire year.

A $1,000 donation will provide care for 13 patient visits.

A $5,000 donation will provide care for 10 Good Samaritan patients for an entire year.

A $10,000 donation will assist in providing 5 1/2 months’ worth of medication for our patients.

Please fill out the below form to make your tax-deductible donation online.
We respect your privacy and would never sell, distribute, or share your information with anyone.
Read our full Privacy Policy.

FIRST NAME: * LAST NAME: *
ADDRESS: *
CITY: * STATE: *
ZIP: *
E-MAIL: * PHONE: *

I Want My Donation To Be Dedicated:


Select An Option:
To Whom?
 

"Please be advised that donations made through the website, GSHC will encounter a service fee equal to 2.2% of donation amount plus $.30 per transaction fee. For Good Samaritan Health Clinic to receive your total donation amount, you can make your donation by check through the mail."

You can make your donation by check through the mail or by credit card over the phone with the information below.

Good Samaritan Health Clinic
401 Arnold Street, NE, Suite A
Cullman, AL 35055
Phone: 256-775-1389, ext. 0

Good Samaritan Health Clinic adheres to the “Donor Bill of Rights” developed by the Association of Fundraising Professionals.

Donar Bill of Rights

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