Donate

How much would you like to contribute?

$100 per pay$50 per pay$25 per pay$20 per pay$15 per pay$10 per pay$5 per pay$2.50 per payOther

Deduction Amount:

You may mail your donation to the attention of:

Avita Health Foundation
629 North Sandusky Avenue
Bucyrus, OH 44820

or send via interoffice mail to:

Avita Health Foundation
Attn. Chuck Cangelosi
Bucyrus campus

Please make checks payable to Avita Health Foundation

Donation Amount:

Please go to the Foundation website and use the Online Donation Form.

Download and complete the Stock Donation Form. If you have any questions, please contact the Foundation Director at ccangelosi@avitahs.org.

You may mail your donation to the attention of:

Avita Health Foundation
629 North Sandusky Avenue
Bucyrus, OH 44820

or send via interoffice mail to:

Avita Health Foundation
Attn. Chuck Cangelosi
Bucyrus campus

Donation Amount:

Donor Information

First Name:

Last Name:

Email:

Department or Name of Clinic:

Home Address:

City:

Phone:

(Optional) This is a:
—Please choose an option—Honorary GiftMemorial GiftTribute Gift

Gift Designation

Please indicate one choice:

Heart & VascularCancer/OncologyWomen's & Children's Health ProgramsAvita Employee Crisis Support FundHealthcare ScholarshipsHelp Us Help Our OwnAvita Crisis Response Fund (Covid-19)Hospice & Palliative CarePatient Transportation AssistanceReading Literacy & Imagination Library (Physicians & Community Partnership)Area of Greatest Need/Campaign for AvitaOrthopedics & Sports MedicineBuckeye Paws Program