Grace Clinic · Website Donation Form 4-2023

One moment please...

Pictured: Dr. Sarah Thomas with patient Shellye

When you give to Grace Clinic, you are providing free medical, dental, and mental health services for low-income, uninsured and under-served adults. Some seniors like Shellye have Medicare for medical, but do not have access to affordable dental services. Your generosity, combined with the efforts of volunteers like Dr. Sarah, helps Shellye and others like her receive the care that they need.

Thank you for your giving!

Amount

$1,000

$250

$75

Donation Schedule

Contact Information

Name

First Name

Last Name

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Phone

Is this gift in memory of or in honor of someone?

Yes

In Honor/Memory Of

Please include First Name and Last Name

Add a message

Add 3% to my total amount to help cover the payment processing fees