Donation Request Form

Please allow 4-6 weeks for processing, which includes reviewing, processing paperwork, check procurement and mailing.  Please note that our Door County Medical Center policy regarding the sponsorship of community activities and events require that they benefit community health.

Today
Please provide the date the donation is needed.
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Please email other forms or supporting material to:

  • Sandy Sievert: Sandy.Sievert@dcmedical.org
  • Kevin Grohskopf: Kevin.Grohskopf@dcmedical.org
  • Erin Shortall: Erin.Shortall@dcmedical.org


Exclusions include:

  • Capital campaigns and endowments
  • Individual and personal initiatives, including individual employee/family initiatives (other than possible in-kind support)
  • Political organizations
  • Programs which may be in conflict with Catholic Health Care values
Notice of Nondiscrimination:  English

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