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Our Purpose
What Sets Us Apart
Featured Initiatives
Your Impact
Our Kids
Our Team
What’s Happening
Get Involved
Walk for Children’s
Fundraise for Children’s
Attend an Event
Involve Your Company
Shop to Support Children’s
Patient Family Engagement
Join a Giving Society
Join Children’s Trust
Ways to Donate
Monthly Giving
CHP Cares
Tribute Giving
Start a Fundraiser
Employer Matching Gifts
United Way
Donor Advised Funds
Combined Federal Campaign
Planned Giving
Gifts of Stock
Toy Donations
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Patient Family Referral Form
Staff Member Name:
Department
The patient's family stated yes to being contacted by a UPMC Children’s Foundation Staff Member:
Yes
No
Family Member Name:
Relation to Patient:
Mother
Father
Primary Caregiver
Other
Relation to patient:
Email
Phone
Email:
Phone:
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Our Purpose
What Sets Us Apart
Featured Initiatives
Your Impact
Our Kids
Our Team
What’s Happening
Get Involved
Walk for Children’s
Fundraise for Children’s
Attend an Event
Involve Your Company
Shop to Support Children’s
Patient Family Engagement
Join a Giving Society
Join Children’s Trust
Ways to Donate
Monthly Giving
CHP Cares
Tribute Giving
Start a Fundraiser
Employer Matching Gifts
United Way
Donor Advised Funds
Combined Federal Campaign
Planned Giving
Gifts of Stock
Toy Donations
Our Purpose
What Sets Us Apart
Featured Initiatives
Your Impact
Our Kids
Our Team
What’s Happening
Get Involved
Walk for Children’s
Fundraise for Children’s
Attend an Event
Involve Your Company
Shop to Support Children’s
Patient Family Engagement
Join a Giving Society
Join Children’s Trust
Ways to Donate
Monthly Giving
CHP Cares
Tribute Giving
Start a Fundraiser
Employer Matching Gifts
United Way
Donor Advised Funds
Combined Federal Campaign
Planned Giving
Gifts of Stock
Toy Donations
DONATE