Grateful Patient

Honor your caregiver through the Tri-State Hospital Foundation Grateful Patient Program. Grateful Patient is an opportunity to say thank you to a specific team or individual who provided you or a loved one high quality healthcare at Tri-State Memorial Hospital.

Every patient is important to us

What to recognize a provider, nurse, housekeeper, volunteer, or other caregiver who made a difference in your stay at Tri-State Memorial Hospital? Our Grateful Patient Program provides grateful patients and family members an opportunity to do just that. Your gift will be making a positive difference for other patients by supporting programs and services to improve the health of our community.

How can I say thank you?

Simply fill out the form below, tell us how your caregiver made a positive difference and make your tax deductible donation in his/her honor. Gifts of all sizes add up to make a big difference toward better health for you, your family, friends, and our community. Every donation received by the Tri-State Hospital Foundation is dedicated solely to supporting the needs of Tri-State Memorial Hospital & Medical Campus. Form Information: Your Name Date Phone Number Email Name of Tri-State Employee Department Share your story of how a Tri-State Memorial Hospital employee provided you or a loved one with the highest quality of healthcare • Donation o $25, $50, $100, $250, $500, $1,000, Other $ o Billing Address o Check box if you would like this gift to remain anonymous o Payment Details o Cardholder Name o Card Number o Expiration o CSC

Matching Gifts

You can double or triple your donation through your companies matching gift program. A gift to the foundation can be maximized through your employer. Please check with your company human resources department to find out if it provides a matching program to multiply your generousity.