Donate Now

As a patient, you may have encountered a doctor, nurse, or staff member who brought you comfort in a time of uncertainty and need. Our Grateful Giving Program is a great way to say thank you. If you would like to thank our exceptional caregivers, staff and volunteers by sharing your story, please complete our online form below.

Gift Amount

Field Is Required Select Gift Amount:

$1,000.00

$500.00

$250.00

$100.00

$50.00

$25.00

Enter amount

Field Is Required Gift Designation

Use my gift where it is needed most.

Direct my gift to:

Yes, this is a Tribute gift

Honoree First Name:

Honoree Last Name:

Notification Recipient Name:

Notification Recipient Street 1:

Notification Recipient Street 2:

Notification Recipient City:

Notification Recipient State/Province:

Notification Recipient ZIP/Postal Code:

Notification Recipient Country:

Message Body:

Message Closing:

Message Signature:

Yes, include the gift amount in the message.

Your Information

Title (optional):

First Name:

Last Name:

Email Address:

It's OK to email me

Yes, I would like to make this donation anonymously

How would you like to be recognized in publications/website:

Billing Address

Address 1:

Address 2 (optional):

City:

State/Province:

ZIP/Postal Code:

Country:

Payment Information

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Matching Gift:

Many corporations and businesses sponsor matching gift programs that will match charitable contributions made by their employees, employee's spouse or partner, or retirees.

If your company is eligible, request a matching gift form from your employer, and send it completed and signed with your gift. We will do the rest. The impact of your gift to Stamford Hospital may be doubled or possibly tripled!

Press Submit Gift only once. You will see this charge appear on your credit card statement as Stamford Hospital or BLK Nonprofit (out of CA).