Make a Donation

Yes, I would like to make a contribution.

I would like my donation directed to:
^{Please click on desired foundation to display a listing of specific programs and funds}
Ephrata Community Hospital Foundation
Gettysburg Hospital Foundation
Good Samaritan Hospital Foundation
Philhaven
WellSpan York Health Foundation

Donation Form First Name Last Name Address

City

State

Zip

Phone Email

Please add me to your mailing list

I would like to make a donation in the amount of:

For Memorial Gifts

This gift is in memory of (name): Next of kin to be notified: Next of kin address:

For Honorary Gifts

This gift is to honor (name): Honoree address:

Additional names to be credited for gift: How would you like your name listed in the Annual Report?

Please click below to enter your credit card information on our secure giving site.