Health Care Choices is a New York not-for-profit corporation exempt from federal taxation under section 501(c)(3) of the Internal Revenue Code. If you would like to make a donation to help us continue our services, please mail your check to:

Health Care Choices
P.O. Box 21039
Columbus Circle Station
New York, NY 10023

Please include your address. For your convenience, we have included a form at the bottom of this page which you can print out and send back to us with your contribution. We will send you a receipt acknowledging your gift. Contributions are tax deductible to the extent permitted by law.

We truly appreciate your generous support.
Susan Rosenfeld
President

Contribution Form

Yes, I want to help. Enclosed is my donation of _$15, __$25, __$50,__$100, Other $______ (please enter amount)
First Name	MI
Last Name
Title (Mr., Mrs., Ms., etc.)
Organization Name
Position
Street Address
City
State	ZIP
Telephone
Email

If you have any questions or would like further information, please contact us:

Email: info@healthcarechoices.org

A copy of our most recent financial report may be obtained from the Charities Bureau, New York State Department of Law, 120 Broadway, New York, NY 10271 or from us at P.O. Box 21039, Columbus Circle Station, New York, NY 10023.

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