Thank a Caregiver - Piedmont Healthcare Foundation

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Yes, I want to donate in honor of a Piedmont physician, nurse, receptionist, or other staff member!

If you are grateful for the care you or your family have received from a special Piedmont Healthcare team member, please consider making a gift to Piedmont in their honor. Whether the nurse who had time to listen, the doctor with the perfect bedside manner, the housekeeping team member who kept your room spotless with a smile, or even an entire team of care givers, any gift amount in honor of this person or team is a great and thoughtful way to show your appreciation to these dedicated healthcare professionals. Your contribution enables us to make a difference in every life we touch.

For information about additional ways to give, please click here.

Step 1: Gift Information

Field Is Required Select a Fund:

Piedmont Healthcare Staff Support Fund

I would like to give to:

Field Is Required Select Gift Amount:

$1,000.00

$500.00

$250.00

$100.00

Other

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Gift type:

One-time gift

Recurring gift

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Total Gift: 0.00

Your tribute will be sent to the following Piedmont team member(s) Yes, I want to honor a special Caregiver!

Honor Gift Type:

Honoree Title:

Honoree First Name:

Honoree Last Name:

Let us know why are you honoring this caregiver:

Please note: if the space provided is not adequate for your message regarding the caregiver you wish to honor, you can send your complete message via email to philanthropy@piedmont.org.

Step 2: Billing Information

If you have any additional comments you would like to include along with your gift, or have any other questions, please email us at philanthropy@piedmont.org

Title:

First Name:

Middle Name:

Last Name:

Suffix:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Country:

Donor Phone Number:

Email Address:

Yes, I would like to receive communication from the Piedmont Healthcare Foundation.

Donor Employer:

If you are making a gift on behalf of a company, foundation or other organization, and you are using your organization’s credit card, please enter your company name below.

Company/Organization Name:

How would you like to be listed in our donor publications? (e.g. Annual Donor Reports)

If you wish to remain anonymous, please enter Anonymous.

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