Ducan Regional Hospital

You can make a difference in someone's life with a gift of $10, $15, or $25.

Please provide your contact information.  The contact information is required to generate a tax receipt.  Please follow the link after you have submitted your information to complete your payment information.

* Indicates required information
Donor Name * 
Address * 
City, State & Zip * 
Donor Phone Number * 
Donor's Email Address * 
In Honor/In Memory of 
City, State & Zip 
Reason for Honor: (Birthday, Anniversary, etc.) 
Giving Level: * 

If Other, please specify:

Click the submit, you will then be directed to complete your payment information. 
Authentication * 

If the challenge words are too difficult to read, click here to refresh.

Print    Email

Duncan Regional Hospital Health Foundation    2210 Duncan Regional Loop.    Duncan, OK 73533    (580) 251-6640    Information about the Foundation