New One Heart Member Donation Form

  1. Donation
  2. Step
  3. Review

Donation

Yes, I want to become a member of the ONE HEART employee giving program! I authorize Doctors Community Hospital to deduct the following amount through bi-weekly payroll deductions:
Remember that your contribution is tax-deductible.
Donation:
I would like my contribution to benefit the following
(CHOOSE NO MORE THAN TWO OF THESE DONATION CATEGORIES)