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This form is intended for individuals who wish to enroll as members of The 1897 Circle at Glens Falls Hospital Foundation, allowing them to indicate their intentions regarding future donations and
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How to fill out Glens Falls Hospital Foundation - The 1897 Circle Membership Enrollment Form
01
Obtain the Glens Falls Hospital Foundation - The 1897 Circle Membership Enrollment Form from the hospital's website or front desk.
02
Fill out your personal information in the provided fields, including your name, address, phone number, and email.
03
Indicate the membership level you wish to enroll in by checking the appropriate box.
04
Enter your payment information, selecting your preferred method of payment (credit card, check, etc.).
05
Review the terms and conditions associated with your membership.
06
Sign and date the form to certify your enrollment.
07
Submit the completed form either electronically or by mailing it to the address provided on the document.
Who needs Glens Falls Hospital Foundation - The 1897 Circle Membership Enrollment Form?
01
Individuals who wish to support Glens Falls Hospital financially and become part of a community that values healthcare.
02
Local residents looking to participate in exclusive events and gain benefits provided to members.
03
Philanthropists interested in contributing to the mission of Glens Falls Hospital.
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People Also Ask about
Is Glens Falls Hospital a 501c3 organization?
Glens Falls Hospital Foundation is a 501(c)(3) public charity, EIN 14-1790805. Donations are tax-deductible. Select content is provided by GuideStar.
Is Glens Falls Hospital part of Albany Med?
We are an award-winning community hospital serving patients across five counties in an area that spans 6,000 square miles of New York's Adirondack Mountains region. Our hospital is a member of the Albany Med Health System.
Does CMH have a patient portal?
The CMH Patient Portal provides an intuitive, secure, web-based method for patients to access portions of their medical records. Download the MHealth app for easier access on a smartphone.
Does Glens Falls Hospital have a patient portal?
Welcome to your Patient Portal Get started by verifying your access code, which you can find in the email, text, or print-out your provider gave you. All data is securely encrypted.
Does Albany Med use MyChart?
MyChart makes your connection to the Albany Med Health System even stronger. Our new secure online patient portal, MyChart, allows you to easily manage your own health care — anytime, anywhere.
What is the phone number for Glens Falls Hospital patient information?
To speak directly with a patient care representative, please contact 518-926-3450. Learn more about your hospital visit.
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What is Glens Falls Hospital Foundation - The 1897 Circle Membership Enrollment Form?
The Glens Falls Hospital Foundation - The 1897 Circle Membership Enrollment Form is a document that allows individuals to enroll as members of the 1897 Circle, a philanthropic group supporting Glens Falls Hospital.
Who is required to file Glens Falls Hospital Foundation - The 1897 Circle Membership Enrollment Form?
Individuals who wish to become members of the 1897 Circle and support the Glens Falls Hospital are required to file this enrollment form.
How to fill out Glens Falls Hospital Foundation - The 1897 Circle Membership Enrollment Form?
To fill out the form, individuals need to provide their personal information, including name, contact details, and any membership contribution level they wish to participate in.
What is the purpose of Glens Falls Hospital Foundation - The 1897 Circle Membership Enrollment Form?
The purpose of the form is to facilitate the enrollment of individuals into the 1897 Circle, thereby enabling them to contribute to the fundraising efforts for Glens Falls Hospital.
What information must be reported on Glens Falls Hospital Foundation - The 1897 Circle Membership Enrollment Form?
The form must report the individual's name, address, phone number, email, and the chosen membership contribution level, along with any additional comments or designations for donations.
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