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About Charitable Requests to PMC

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Charitable Requests Policy

Pikeville Medical Center is proud of the amount of charity given both directly and indirectly to our community.

 

All charitable requests to Pikeville Medical Center are now overseen by an advisory committee via the Pikeville Medical Center Foundation for Quality Healthcare, Inc.

 

Please take a moment to read the Charitable Requests policy provided as a PDF on this page before filling out the form below.

 

Organization Name:

 

Point of Contact:

First Name:

 

Last Name:

 

Position:

 

Address:

 

Phone Number:

 

Fax Number:

 

Email:

 

Amount/Nature of Request:

 

Reason for Request: