Your gift to honour a Southlake Hero will help Southlake provide world-class care to thousands of patients every year, when they need it most. To make a tax-deductible donation now, please fill out and submit the form below. If you prefer, you can make a donation by cheque or money order to:

Southlake Regional Health Centre Foundation
102-581 Davis Drive
Newmarket, ON
L3Y 2P6

* = Required fields

Field Is Required Select Gift Amount:

Hero Information

Donor Information

Payment Information

Credit Card Information:

Credit Card Type:
  • Visa
  • American Express
  • MasterCard
What is this?

Billing Information