Hospital Donations - New
Mt. San Rafael Hospital welcomes online donations. There are various programs that continually need support and funding. Please accept our thanks for your consideration. To donate, please scroll down the page and read the short instructions.
All information will be kept secure and confidential. For more information on membership or to make a donation you may call our Business Office at 719-846-9213. Mt. San Rafael Hospital is a non-profit organization.
We want you to know that our healthcare facility carefully uses your donation for important needs of the hospital. You may donate by providing your credit card information in the below fields.
All payments are via secure server. Thank you for your support.
As It Appears On Donor's Credit Card or Checking Account.
Address Where Your Credit Card Statements Are Mailed.
City, State, Zip Code
Please Include Your City, State and Five Digit Zip Code.
Your Email Address
Please Provide An E-mail Address.
Amount of Your Donation
Please Specify How Much You Are Donating. Please Use Dollars and Cents.
Credit Card Type
Select If You Are Paying By Credit Card.
Credit Card Number
Input The 16 Digit Number Just As It Appears On Card.
Credit Card Expiration Date
3-digit code located on the back of your credit card.
Comments or Messages Related To Your Donation