How to Donate to Klamath Hospice, Inc.

Donations

Step 1: Fill out the form below. We need this information in order to email your tax-deductable receipt to you.

Your Name:
Email Address:
Phone:	( )
Would you like to designate your donation in memory of someone?
	Yes No
If yes, please tell us the name of the person whom you would like to donate in memory of.
In memory of:
Would you like an acknowledgement of your donation to be sent to the family?
	Yes No
If yes, please provide the address, city, state and zip code where acknowledgement is to be sent:

Easy Referral
Call our Admissions line
24 hours a day, 7 days a week
541-882-2902

Klamath Hospice, Inc.

4745 South 6th Street
Klamath Falls, Oregon 97603
541-882-2902
877-882-2902 Toll Free
541-883-1992 Fax