Patient Mail 02 - Southlake Regional Health Centre Foundation

A stronger, healthier community begins with the generosity of people like you!

Your ongoing commitment to Southlake Health will help ensure that your family, friends and neighbours have access to leading edge care, close to home.

Please complete the form below to initiate your monthly gift now.

Are you looking to make an individual donation? If so, click here.

If you have any questions about your gift, please contact Southlake Health Foundation at 905-836-7333 or foundation@southlake.ca.

Select monthly gift amount

Field Is Required Select Gift Amount:

$100.00

$100

$50.00

$50

$25.00

$25

$15.00

$15

Enter amount

Where would you like to designate your gift to?

*Please Note: If you selected ‘other’ rather than one of the Hospital’s identified priorities we may need to contact you to ensure that your donation can be put to work as quickly as possible in the area of the hospital you wish to support.

Donor/Receipt Information

Organization Name:

First Name:

Last Name:

Street 1:

City:

State/Province:

ZIP/Postal Code:

Country:

Preferred Phone Number:

Email Address:

Yes, I would like to make this donation anonymously.

I am proud to be part of the Southlake Family as a physician, staff or volunteer

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.