THE NEED IS GREAT…
WON’T YOU HELP?

Medical Outreach Ministries provides quality healthcare to our patients in a supportive, caring environment. While providing free medical care, medications, and lab work to qualified patients, these services continue to be a huge financial responsibility for the Clinic. We need your financial support now more than ever. Please complete and mail the following, along with your check, to Medical Outreach Ministries, P.O. Box 250612, Montgomery, AL 36125.

If you have an "In-Kind" Donation (i.e. medical or office equipment, medications, services, etc.), you can come to the clinic with your donation and receive a charitable donation tax receipt for it's estimated value.

Donor Information:

Name: __________________________________________________________
 

Address: ________________________________________________________
 

City: __________________________ State: ___________ Zip: ______________
 

Amount of Gift: __________________ Phone: ____________________________
 

If you would like to make a donation in memory or honor of a friend or loved one, please complete the following:

This gift is given in:       ___ Memory of:       ___ Honor Of:
 

Name: _________________________________________________________
 

Address: _______________________________________________________
 

City: ___________________________ State: __________ Zip: ____________
 

All Donations are tax deductible to the extent the law provides.