Attention

Our Patient Portal is temporarily unavailable. We apologize for the inconvenience. If you need a copy of your medical record, please call Medical Records at (406) 455-5642
and we can send them via secure email. We can also mail records, or you can visit our location at Benefis East Campus at 1101 26^th Street South. Please use Entrance 1 for access.

Supporting Our Community

The health, wellness, and safety of our community are our highest priorities. Each year Benefis supports these goals with monetary and in-kind donations to deserving organizations.

We consider requests for donations and sponsorships from not-for-profit organizations with 501(c)(3) status. These organizations must meet at least one of three specific criteria, including:

Being consistent with Benefis Health System’s mission, vision, and core values
Improving healthcare status or providing for the needs of vulnerable populations
Providing valuable support services for our organization

Organizations should complete our donation/sponsorship form early, since we must receive the request at least 30 days in advance.

Community Donations & Sponsorships Form

Today's Date *Date donation needed: *Name of organization: *Contact person: *Contact phone number: Contact email: *Organization’s address: *Is this a tax exempt organization and/or activity? *No Yes Organization’s Tax ID#: Please describe your organization and mission: *Type of donation needed: *Service Financial Materials
Other
Dollar amount requested: *What will this donation be used for? *Who will benefit from this donation? *Is this request from a Benefis Health System employee or is an employee affiliated with the requesting organization? *Yes No If yes, name of employee: Did Benefis Health System contribute to your organization last year *Yes No If you have any additional information that would be helpful, please upload them here:

Supporting Our Community

Community Donations & Sponsorships Form

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