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Donation Form

Online Donation Form

Samaritan gives our donors the option to cover processing fees associated with credit card donations so as to direct more of your gift to our patient and family care.  SHOULD YOU PREFER TO NOT cover fees, please “unclick” the box next to the final gift amount.

*If making a gift other than a pre-set option below, click on the word “Other” in the Other gift box.  When the box turns GRAY insert a gift amount – $10.00 minimum.