Donate

Support Our Mission – Make a Difference Today

Your donation to the Heal Canada Foundation helps us empower patients, advance advocacy, and provide vital support programs. As the charitable arm of Heal Canada, a not-for-profit organization, the Foundation raises funds to drive research, enhance patient care, and support impactful projects. Your contribution directly fuels initiatives that improve lives and create lasting change. Join us in making a difference – every donation counts!

Please note that donations over $5 will receive a tax receipt.

This field is hidden when viewing the form

Next Steps: Install a Payment Add-On

To accept donations on this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

How did you hear about us?

Are you donating as a business or organization?

Yes

Name of business/organization

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Donation Amount(Required)

Choose how much you would like to donate. Please notice that donations of $25 and above are eligible for a tax receipt

Other Amount

Total

Credit Card