Who has touched your life today?
Our Mission:
Is there a physician, nurse, other staff member, or volunteer that made a difference in the experience you or your loved one had while at Phelps County Regional Medical Center? If you know someone who cares without limits and gives without reservation, complete and return this brochure to the Phelps Regional Health Care Foundation.
To serve as the philanthropic organization that facilitates charitable donations to support and assist the mission of Phelps County Regional Medical Center.
The Guardian Angel Program
“I thank you, for you saved my life. You are a wonderful doctor with a good spirit.� Guardian Angel donor
Recognize your Guardian Angel:
Please let us know why your Guardian Angel is so special to you:
PO Box 261 | Rolla, MO 65402 573.458.7946 | giving.pcrmc.com If you would prefer not to receive future communication to raise funds for Phelps Regional Health Care Foundation, please call us at (573)458-7249 and leave a message or email us at foundationservices@pcrmc.com or write to us at PO Box 261, Rolla, MO 65402. Provide your name and mailing address to ensure we have the correct information. Please allow four(4)weeks for us to honor your request.
The gift of
THANK YOU
An opportunity for you to make a donation in honor of the caregiver(s) who made a difference in your care at Phelps County Regional Medical Center.
Your donation supports the following Phelps Regional Health Care Foundation annual funds:
Yes, I wish to make a gift and thank my Guardian Angel!
Abbie Darnell Mobility Fund assists patients in
Enclosed, please find my donation of:
regaining mobility or nerve function through the use of Bioness Therapy.
$25
Baby Steps Fund offers new parent support,
Contact Information (please print):
education, infant supplies, and breastfeeding essentials and provides for families experiencing fetal demise.
Name: ______________________________
Breast Center Mammography Fund offers
“All staff that visited George recently were excellent! They really cared about him. Thank you so much!!” Guardian Angel donor
Recognize Your Guardian Angel The Guardian Angel program provides an opportunity for you or your loved ones to recognize and express gratitude to a special caregiver who you believe made a difference during your experience at PCRMC. By making a donation on behalf of your caregiver, you will honor someone who has touched your life in an extraordinary way.
We celebrate the caregiver by: * Presenting a certificate without specifying the amount of your donation * Presenting the caregiver with a customcrafted lapel pin * Recognizing the caregiver amongst his or her peers
$50
$100
Other__________
Address: ____________________________
mammograms and additional services at no cost for patients who financially qualify.
City: __________ State: _____ Zip: ______
Delbert Day Cancer Institute provides
Telephone: __________________________
comprehensive, patient-centered, and cutting-edge cancer care.
Enhancing Nursing Excellence Fund provides PCRMC nurses with the tools and education needed to improve the quality of care and health outcomes for patients.
Greatest Needs Fund supports existing funds, priorities of PCRMC, and helps patients in need that are not covered by another fund. Heart-2-Heart Fund provides education on heart health and stroke prevention, cardiac rehabilitation, and financial assistance to patients in need of cardiac and stroke services at PCRMC.
Hospice Fund provides financial support for qualified Hospice patients and their families through assistance with prescription medication, food supplements, and other needs as identified.
Jay Crump, D.O. Memorial Fund provides for the needs of the Emergency Department at PCRMC.
Joy of Caring Cancer Fund provides financial support for cancer patients who may have difficulty managing their daily activities and challenges that are experienced from their cancer diagnosis. Patient Transportation Fund provides free transportation for patients to and from PCRMC within a 30-mile radius. Pediatric Dental Fund provides dental care to area youth between the ages of one and eighteen.
Email: ______________________________
Giving Options: Online at giving.pcrmc.com/give Check payable to Phelps Regional Health Care Foundation Card (please choose option)
MC
AMEX
Visa
Disc
Card#:______________________________________________ Expiration:_________________________________________ Name on Card:____________________________________ Signature:_________________________________________
Please direct my gift to:
Abbie Darnell Mobility Fund Baby Steps Fund Breast Center Mammography Fund Delbert Day Cancer Institute Enhancing Nursing Excellence Fund Greatest Needs Fund Heart-2-Heart Fund Hospice Fund Jay Crump, D.O. Memorial Fund Joy of Caring Cancer Fund Patient Transportation Fund Pediatric Dental Fund