Leave a Legacy in the New UPMC Hamot Patient Tower

Dedicate a Patient Room — Only $38 Per Pay

ICU Room Template Board

A custom storyboard placed near the room will provide an opportunity to share the story of those recognized.

With the new patient tower nearing completion, Hamot Health Foundation is honored to offer a special naming opportunity to all employees of UPMC Hamot. 

Employee donors are able to dedicate a patient room to honor their family, memorialize a loved one, or recognize others who have impacted their life, their health, or their career. A custom storyboard placed near the room will provide an opportunity to share the story of those recognized.


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Payroll Deduction Request Form

Note: Giving by payroll deduction is only available to employees of UPMC Hamot

Giving option examples:

  • A $3,000 pledge, paid over 3 years, 26 annual pay periods = $38.47 deduction per pay
  • A $3,000 pledge, paid over 1 year, 12 annual pay periods = $250 deduction per pay
  • A $7,500 pledge, paid over 2 years, 12 annual pay periods = $312.50 deduction pay
Please choose a pledge size.
Please choose which level you prefer.
A representative of Hamot Health Foundation will contact you to coordinate details of your recognition opportunity.

Authorization

By submitting this form, I understand that I am pledging philanthropic support to Hamot Health Foundation. I authorize the necessary amount to be automatically deducted from my pay each pay period to fulfill my total pledge in the amount of time selected above.


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