Tribute Gifts

A tribute gift commemorates or honors a special person. Tributes can be made in memory of or honor of a family member, friend, doctor, nurse, or in recognition of birthday, anniversary, or other special event. We will acknowledge your gift and notify the next-of-kin or caregiver of your kind and thoughtful charitable contribution without disclosing the gift amount. 

 Ways You Can Make a Tribute Gift

Donate online by filling out the form below.  Donate by calling us at 860.972.2322. Donate by mail: Print a gift form, fill it out, and mail it with your donation to Hartford Hospital, ATTN: Department of Philanthropy, 80 Seymour Street, P.O. Box 5037, Hartford, CT 06102.

 

Donation Information
Contributions directed to Areas of Greatest Need will provide an unrestricted gift that can put to immediate use wherever it’s needed most — including enhancing programs and services that lead to better care for every single one of our patients.
Amount:	$     *
Designation:	Monroe Himelstein, MD Fund Heart Failure and VAD Program Rory Holt Fund for Pet Therapy Women's Health Program Jefferson House Transplant Program Institute of Living Palliative Care Henry Low Heart Center Helen & Harry Gray Cancer Center Areas of Greatest Need
Additional Information (Optional)
If this gift is from a group or organization, please leave that information in the comments box. You may also leave any other information you'd like us to know about the gift in the comments.
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Anonymous:	I prefer to make this donation anonymously
Comments:
Donor Information
Please use the "Comments" section above to list additional donors. You may also leave any additional information you'd like us to know about the gift.
Title:	<Please select> Miss Mr. Mrs. Ms. Admiral Ambassador Archbishop Attorney Brother C.L.U. Capt. Cmdr. Col. Colonel Dr. Drs. Estate of Family of Father Friend Friends of General Governor Honorable Judge Lt. Lt. Col. Madam Major Master Misses MSGT. Prof. Rabbi Rev. Rev. Dr. Rev. Fr. Reverend Senator Sir Sir/Madam Sister The Honorable The	*
First name:		*
Last name:		*
Country:	Australia Canada Greece United Kingdom United States Spain	*
Address lines:		*
City:		*
State:	<Please Select> New AA AB AE AK AL AP AR AS AZ BC CA CAN CO CT CZ DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MP MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE PR PW QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT	*
ZIP:		*
Phone:
Email:		*
Payment Information
Cardholder's Name:		*
Credit Card Number:		*
Card Type:	American Express Discover MasterCard Visa	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041	*
Card Security Code:		*
Matching Gifts (Optional)
If your employer has a matching gift program and you'd like to match your gift to Hartford Hospital, please check the box below and provide your company name.
	My company will match my gift
Company:		*
Additional Security
This is a security measure to help prevent fraud.
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Tribute Information
Please provide us with the name of the individual whom the gift is in memory or honor of. Unless your gift is anonymous, we will notify the individual or next of kin of your donation (we do not disclose dollar amount). Please disregard the "mail a letter on my behalf" checkbox.
Type:	in memory of in honor of	*
Name:		*
First name:
Last name:		*
	Mail a letter on my behalf	*