Care & Treatment       Find a Provider       Locations        Patients & Visitors       Health Library       Classes & Events  

Make a Pledge to the "Your Hospital. Your Health." Capital Campaign
You have chosen the                                                                                  .  Please fill out the following information to complete your donation.

Total Gift (over 5 years)                                                          Select how often you would like to make payments:

​        

Please type your preferred naming opportunity to commemorate your donation:



Please type your name as you would like to have it shown on your selected naming option:
​(i.e., Mr. & Mrs. John Smith; Mr. John and Mrs. Jane Smith; John and Jane Smith, etc.)




Phone Number                                                                             Email Address










To make a pledge by mail, please click here to print a form a mail to:

Genesis HealthCare Foundation
1135 Maple Ave.
Zanesville, OH 43701





YearlyQuarterlyMonthly
Please contact me to set up an automatic Electronic Funds Transfer.