Online Donations

Thank you for making a gift to support healthcare in Santa Clara County. Your giving supports the entire public healthcare system in our region and helps ensure that anyone who needs healthcare gets quality healthcare, no matter what.

Does your company match or partially match your donation? Check with your manager or HR department. This is an easy way to make your contribution even greater.

Give Once
Give Monthly

Charge my card today and each 1st or 16th

USD $

Anything you want us to know about your gift?

NoYes (use text box to describe):

Make this gift in honor or memory of someone.

This donation is made

In Honor Of In Memory Of

Please send notification of this donation to:

Name

Address

Address, line 2

City

State/Province

Zip/Postal Code

Country

Personal note:

Title

First Name*

Last Name*

Suffix

Address*

Address, line 2

City*

State/Province*

Zip/Postal Code*

Country*

Preferred Phone

E-mail Address*

Please add me to your e-mail distribution list.

Personal note:

Payment Options

Apple Pay

Specify a donation amount to see Apple Pay or Google Pay button

Card Info (number - expiration - CVC)

My Donation

My Billing Information

Payment Options

Specify a donation amount to see Apple Pay or Google Pay button

Connect