MedWest Health System supports our communities through donations and sponsorships and provides the following application process. MedWest will not be able to meet every request. In addition, MedWest proudly gives back by providing millions of dollars of charity care to our communities each year to ensure the health and well-being of Western North Carolina.


Please fill out the form below.

Name (first and last): *  

Organization: *  

Address: *  

City: *  

State: *  

Zip Code: *  

Phone Number: *  

Email Address: *  

Total amount you wish to raise: *  

Amount Requested: *  

Briefly describe the fundraiser/project:

 

If you have a brochure or flier about the project please upload it here.  

Please briefly describe how this fundraiser/project ties in with the MedWest Mission: MedWest Health System provides personalized, compassionate, and quality care to improve the health of our communities.

 

How will the money be used?