If you would like to help the Friedell Committee improve health care for all Kentuckians by making a financial donation, please fill out the form below.  You can download the form by clicking here.

Thank you for supporting the work of the Friedell Committee for Health System Transformation. Your contribution is fully tax deductible.

Name: _______________________________________________________________
Address: ______________________________________________________________
City, State, Zip: _______________________________________________________
Phone: (____) ____________________ Email: ____________________________

I want to help the Friedell Committee improve the health system for
all Kentuckians with my gift of:

□ $1000 □ $500 □ $20 □ $100 □ Other amount $_____

Gift in Memory/Honor of ______________________________________________

Acknowledge Donation to: ____________________________________________

Please make checks payable to Friedell Committee, and send your

donation to:

Friedell Committee
P. O. Box 910953
Lexington, KY 40591

An acknowledgement letter and official gift receipt will be sent to you
for tax purposes.