Southlake Regional Health Centre Foundation

Thank you for honouring Elvira Hernandez with a gift in her memory to Southlake Health’s Palliative Care Unit.

Southlake Health’s Palliative Care Unit provides each patient and their loved ones with respect, dignity, compassion, and individualized end-of-life care.

You can ensure the family is notified of your generosity, by choosing a card option in the form below.

If you have any questions about your gift, please contact:
Southlake Health Foundation
905.836.7333
foundation@southlake.ca

Field Is Required Select Gift Amount:

$250

$150

$100

$50

Enter amount

In Memory of Elvira Hernandez

Send a Card:

No Card

eCard

Paper Card

Paper Card Recipient Information

Recipient Title:

Recipient Name:

Recipient Street 1:

Recipient City:

Recipient Province/State:

Recipient Postal/ZIP Code:

Recipient Country:

eCard Recipient Information

Yes, I would like to send an eCard.

Send eCard on:Select month of credit card Select Expiration Year

Recipient Email Addresses:

Select an eCard:

eCard Subject:

eCard Message:

Yes, send me a copy of the eCard.

Donor Information

Title:

First Name:

Last Name:

Street 1:

City:

State/Province:

ZIP/Postal Code:

Country:

Donor Phone Number:

Email Address:

Southlake Foundation is dependent upon the generous support of donors and volunteers to fulfill its mission. We collect your personal information to process your donation, issue a tax receipt, and to demonstrate the impact of your gift at work. Your personal information will not be sold or traded with other organizations. For more information about our privacy practices, view our Privacy Policy or contact us at Foundation@southlake.ca

Yes, I would like to receive occasional email updates from Southlake Regional Health Centre Foundation. To opt-out of receiving these communications, please uncheck the box

Yes, I would like to receive physical communication from this organization.