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. Completed forms can be dropped off or interoffice mailed to Human Resources or the HR after-hours drop box at Aultman Hospital or to The Aultman Foundation Office. Tyler Immel at Aultman Orrville Hospital and Jessica Bloss at Aultman Alliance Community Hospital are also accepting forms. 

If you have any questions, please contact Sydney Campanaro at 330-363-4056.

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

2021 Colleague Campaign Contribution Flyer