Printable Donation Forms

To make your contribution to the Together, We Can campaign via downloadable donation form, simply click here to print a donation form. Please return completed forms to the front desk in the Human Resources office at your location, the HR after-hours drop box at Aultman Hospital (Canton), the Development Office at Aultman Alliance Community Hospital (Jess Bloss) or the Financial Services Office at Aultman Orrville Hospital (Jon Basso). If you have any questions, please contact Lisa Zellers at 330-363-4330. 

Thank you for your gift to Aultman's patients and your dedication to our community.

2020 Employee Campaign Donor Form