Choose amount Information Payment Choose amount One-time Monthly A donor account is created automatically for recurring donations. Account setup info will be emailed to you. You can log in to edit your recurring donation any time $ 25 purchases a box of exam table paper for 6 exam rooms $ 50 purchases a 30-day supply of blood pressure medicine $ 100 purchases glucose testing supplies $ 500 purchases Comprehensive Lab Testing for 10 patients $ 1,000 provides diagnostic equipment repair for the year $ Enter custom amount Dedicate my donation in honor or in memory of someone In honor / memoriam In honor of In memory of Honoree Name Person to notify Recipient Name Notify this person by Recipient Email Message for the recipient (optional) Comments: Write us a comment Your comment First NameLast Name Make donation anonymousThe organization will always keep your personal information private. This option will further mark your donation as Anonymous in their donation records. This donation is on behalf of a company Donating Company Email Subscribe to our mailing list to receive updates from us? You can unsubscribe at anytime Please fix the errors above. CARD Pay with Google Pay Card Number MM / YY CVC Code The 3-4 digits on the back of your credit card Billing ZIP Code Enter the Zip/Postal code for your credit card billing address Amplify Your Gift: Help cover the estimated processing fee so more of your donation goes directly toward making a difference. You can log in to edit your recurring donation any time