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Physician Referral: 1 (800) GS-CARES
General Hospital: 213-977-2121
info@goodsam.org
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For a referral to any Good Samaritan Hospital physician, please call:
1 (800) GS-CARES
1 (800) 472-2737

Online Giving Form


(Please note: An email address is required to process this transaction.)

Yes! I want to support Good Samaritan Hospital with a gift of $




Please direct my gift to:

Hospital's Greatest Need
Cardiology Campaign
Cancer
Orthopedics
Davajan-Cabal Center for Perinatal Medicine
Other, please specify:
 


Donor Info:
 
 
First Name:
Last Name:
Address:
City:
State:
Zip:
Telephone Number:
Email Address:
 
I am asking my company to make a matching gift.
I have remembered the Hospital in my will or living trust.
Please send information to me to help organize my estate.
Please send me information on making a gift that may provide me with life income and tax benefits.
 
Card types: We accept Visa, Mastercard, American Express and Discover. Our system will determine which card you're using based on the Card Number.
 
Name on card: (*)
Card Number: (*)
 
Expiration Date:
Month: Year: