Recognize your Guardian Angel

GAP - Hero Banner

Honour a caregiver who made a positive impact on your experience by giving a gift and sending a message to let him or her know that the special care given did not go unnoticed. Your Guardian Angel will receive a custom-crafted angel pin to proudly wear on his or her lapel, signifying to others that they deliver compassionate care to patients at The Ottawa Hospital.

The Guardian Angel Program gives you and The Ottawa Hospital the opportunity to improve health care and transform lives. Your generous donation will help us to purchase life-saving equipment, enhance patient care areas, and fund vital medical research that will lead to new treatments and new cures.

By making a donation in honour of your Guardian Angel, you’re saying “thank you for making a difference”.

Please provide your contact and payment information. The contact information is required to generate a tax receipt. The electronic tax receipt will be sent to the email address that you provide.

Gift Information

Field Is Required Donation Amount

$50

$100

$200

$500

Other

Enter amount

Field Is Required Please direct my gift to:

Use my gift where it is needed most.

Direct my gift to:

Other

What inspired you to donate:

Tribute Information

Name of Guardian Angel (Please provide first and last name if known):

Occupation (e.g. Nurse, Orderly):

Department (e.g. Neurology, Oncology):

Campus

Send a message to your Guardian Angel (max of 255 characters)

Please ensure message is within character limit or all information will be lost when form is submitted. If you would like to submit a longer message, please contact Lucy Januel at 613-798-5555 ext. 70025

Please advise the Foundation if you wish to keep your name and reasons for honouring your Angel confidential.

Yes, I wish to remain anonymous to my Guardian Angel.

Donor Information

I would like to make this gift on behalf of an organization/company (if this is a personal gift, do not check this box).

Organization Name:

Donor Title:

Donor First Name:

Donor Last Name:

Donor Address:

Donor Address 2:

Donor City:

Donor Province/State:

Donor Postal/ZIP code (A1A1A1, no spaces):

Donor Country:

Donor Phone Number:

Email Address:

Occupation:

I allow The Ottawa Hospital Foundation to contact me by email

I am an employee of The Ottawa Hospital

Cardholder Information

Please make sure your billing address is exactly as it appears on your credit card statement.

Use donor information as billing information.

Cardholder Title:

Cardholder First Name:

Cardholder Last Name:

Cardholder Address:

Cardholder Address 2:

Cardholder City:

Cardholder Province/State:

Cardholder Postal/ZIP Code (A1A1A1, no spaces):

Cardholder Country:

Payment Information

Payment Method:

Credit Card

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?