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Wheelchair

Wheelchairs are essential to all departments of Arnold Palmer Hospital for Children. A wheelchair may be the only mode of transportation for some patients, allowing them freedom outside of their rooms. Patients can be transported to all areas of the hospital including the playrooms and outdoors.

Gift Registry Donation Form

A monetary gift made through this registry represents a gift to the entire Medical Center. The monies may or may not be applied to the purchase of a specific item associated with the gift level. We will use your gifts to support the areas of greatest need in order to better serve our patients. Thank you.

Donations

Item	Price	Donation
The Gift of Healing	---
Portable DVD Player	$100.00
IV Pole with Roller Blade Wheels	$250.00
Wheelchair	$500.00
E-Stim/Ultrasound Combo Unit	$1,000.00
Cardiac Patient Bed	$2,500.00
GameReady™ Control Unit	$5,000.00
Ambulatory Blood Pressure Machine	$7,500.00
Broselow Cart® with Defibrillator	$10,000.00
Incubator	$15,000.00
Medical Simulators NOELLE™ & HAL®	$25,000.00
Long Stay Infusion Treatment Room	$50,000.00
Level III NICU Mini-Cluster	$100,000.00

Total Donation: 500.00

Birthday Greeting

Your Message:

Personal Information

Salutation:

First Name

Last Name

Street Address

Apt./Suite

City

State

ZIP Code

Home Phone

Email Address

Contact Options & Additional Information

I would like more information on Arnold Palmer Medical Center.

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Payment Information

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I will be using a credit card.
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Make Donation or Cancel

For additional donation information or for payment concerns, please call: (321) 841-5114. International donors, please contact Dena Pichardo at dena.pichardo@orlandohealth.com or 321-843-2475 in regards to making a gift.

CONTRIBUTIONS TO THE FOUNDATION ARE DEDUCTIBLE FOR INCOME TAX PURPOSES TO THE EXTENT ALLOWED BY LAW. THE FOUNDATION RECOMMENDS THAT YOU CONSULT WITH YOUR TAX ADVISOR CONCERNING ALLOWABLE DEDUCTIONS. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL FREE, 800-435-7352 WITHIN THE STATE OF FLORIDA. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE. THE FOUNDATION IS A REGISTERED CHARITABLE ORGANIZATION (CH577).