Friends Program

The CRHS Friends Program is one of the key ways we cover the cost of uncompensated care in the clinic.  Friends commit to paying the difference between what we can collect in insurance and patient payments and the cost of providing care.  In 2006, this amount is $900 for a half day and $1,800 to sponsor a full day

Many of our Friends choose to sponsor a day that has particular meaning for them, as a way to honor a loved one or celebrate a birthday or anniversary.  Some of our Friends are actually a group of people -- a family, a small group at church, or a group of friends -- who join together to sponsor a day.  Will you consider becoming a CRHS Friend?  Do you know a group of people who might be interested in joining you?

As a 2006 CRHS Friend, you will receive:

 A letter about the services provided on your Friend’s Day, including the story of one patient who received care;
 Friends listing in the CRHS Annual Report; and,
 An invitation to visit CRHS any time to tour our facility and meet our staff.


To join the Columbia Road Health Services Friends Program, please complete following form and then mail your payment(s) on the selected dates to:

Columbia Road Health Services
1660 Columbia Road, NW
Washington, DC 20009

Please provide the following contact information:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

I/We want to support health care for the poor and uninsured with a Friends pledge in 2006:

Friend ($1,800)
Associate Friend ($900)
Friend for a Week ($9,000)
Other

I plan to send (#) gifts of $ each on (date/s).

Please select a Friends Day:

        Date(s):

        Significance:

How would you like your name to appear in our Annual Report or other CRHS publications?