I am a
Inspire positive change …
Grateful Patient
physical, emotional, spiritual Since the late 1800s, Mercy Health System has saved thousands of lives, brought tens of thousands of babies into this world and improved the health and well-being of millions of individuals throughout southern Wisconsin and northern Illinois. As we look to the future, we are dedicated to continuing our tradition of always providing better care. In the work we do each day, there is no one and nothing more important than you and your experiences with us. Everything we do is dedicated to improving your overall care. From securing state-of-the-art technology to ministering with natural and intuitive kindness and compassion, we know that our every decision impacts how you feel about our care. If you have benefited from our efforts, perhaps you would consider becoming part of our Grateful Patient program as a way to show your appreciation.
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Everyone made my stay so pleasant and I am thankful for that.
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— Roy, Mercy Harvard Hospital patient
Name ____________________________________ Address __________________________________
Mercy Foundation Grateful Patient program Every day, we receive heartfelt “thank you’s” in many ways: a hug for a therapist, a high-five for a doctor, a compliment to a housekeeper or food server, a box of chocolates delivered to a nursing station. While each of these acts is truly appreciated, a thank you in the form of a monetary donation helps provide the necessary resources to offer the best care possible to those we serve, now and in the future. Your gift of gratitude becomes an instrument of healing for others and can be used in any number of ways at your request. Your tax-deductible gift to Mercy Foundation Grateful Patient program will be acknowledged with a letter of thanks.
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I truly love everyone here. They make me feel special.
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— Patricia, Mercy Regional Cancer Center patient
City/State/ZIP_____________________________ Phone ___________________________________ Email ____________________________________ 1. My check for $___________, payable to Mercy Foundation, is enclosed 2. Please charge my credit card for a one-time contribution of $____________. Type: ❒ VISA ❒ MasterCard ❒ Discover Credit card number ______________________ Expiration date __________________________ Cardholder signature _____________________ 3. ❒ I would like to share my story. (Please use reverse side to share your story.) 4. Please direct my gift to (select one): ❒ Unrestricted ❒ Autism Support Fund ❒ EMS (Emergency Medical Services) ❒ Neuroscience ❒ Heart care ❒ Technology ❒ Cancer care ❒ Trauma care ❒ Other ____________________________________ 5. I do not wish to make a gift now, but I’d like information about _______________________ 6. ❒ Please remove my name from the Mercy Foundation mailing list. Mercy Foundation is a 501(c)(3) tax-exempt non-profit organization and gifts are deductible to the fullest extent allowed by law.
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