Donate by Phone or Mail
I am making a gift of: $25, $50, $100, or Other $__________
Please use it for _________________________, or where most needed.
Your Name: ________________________________________
Your Company/Organization: _______________________________
Street Address: _______________________________________
City/State/Zip: _______________________________________
Phone Number: _______________________________________
Email Address: _______________________________________
Mail to:
Home Health of Western Colorado
1681 E Niagra Road
Montrose, CO 81401
To Donate by Phone:
Call (800) 899-0089 with your credit card information.
Please make checks payable to Home Health of Western Colorado.
Please check that your name and address are correct to ensure proper preparation for your tax receipts.


