Tri Valley Health System
  • Home
  • About
    • Our Philosophy
    • Leadership
    • Community Health Needs Assessment
    • Tri Valley Medical Foundation >
      • About Us
      • News
      • Healing Garden
      • Pro-AM Golf Tournament
      • Scholarship Opportunities
      • Contact Us
    • Volunteer Services
    • Current News
    • The Pulse
  • PROVIDERS
    • Providers
    • Specialists
    • Provider Recruitment
  • Services
    • Advanced Wound Care
    • Cardiopulmonary
    • Imaging Services
    • Laboratory Services
    • Respiratory Therapy
    • Diagnostic Sleep Center
    • Surgical Services
    • Hospital Services >
      • Acute Care
      • Anesthesia
      • Emergency Services
      • Swing Bed
    • Maternity Services
    • Orthopedics
    • Medical Clinics
    • Nutrition & Diabetes
    • Public Transportation
    • Rehabilitation >
      • Occupational Therapy
      • Physical Therapy
      • Speech Language Pathology
    • Assisted Living
    • Senior Life Solutions
    • Social Services
    • Wellness Center
  • Careers
  • Patient
    • Patient Portal
    • Patient Services
    • Financial Services >
      • CMS HPT
    • Online Payments
    • Financial Assistance
    • Medical Record Request
    • Price Transparency
    • Forms
    • Privacy Policy
  • Contact Us
  • Patient Family Advisory Council
  • Visitor Guidelines
  • Gift Shop
  • Send a Smile
  • Cornerstone Café
  • The DAISY Award
  • Heritage Plaza
  • Community Resources

Charitable Donation Request Form

Tri Valley Health System donates to many different charities, organizations, and individuals.  If you would like to request a donation from Tri Valley Health System please complete the below form and return it at least seven days prior to your event for consideration.  
Your browser does not support viewing this document. Click here to download the document.

Patient  Information 

Forms 
​​Medical Records Request
​Patient Resources
Online Payments
​Community Health Needs
Notice of Nondiscrimination
​Site Map
Price Transparency 

Careers

Contact Us

1305 Highway 6&34
Cambridge, NE 69022
​1-308-697-3329
​[email protected]

Privacy Policy

​© Tri Valley Health System

Picture
Picture
You can find us on Facebook, Instagram, and YouTube
  • Home
  • About
    • Our Philosophy
    • Leadership
    • Community Health Needs Assessment
    • Tri Valley Medical Foundation >
      • About Us
      • News
      • Healing Garden
      • Pro-AM Golf Tournament
      • Scholarship Opportunities
      • Contact Us
    • Volunteer Services
    • Current News
    • The Pulse
  • PROVIDERS
    • Providers
    • Specialists
    • Provider Recruitment
  • Services
    • Advanced Wound Care
    • Cardiopulmonary
    • Imaging Services
    • Laboratory Services
    • Respiratory Therapy
    • Diagnostic Sleep Center
    • Surgical Services
    • Hospital Services >
      • Acute Care
      • Anesthesia
      • Emergency Services
      • Swing Bed
    • Maternity Services
    • Orthopedics
    • Medical Clinics
    • Nutrition & Diabetes
    • Public Transportation
    • Rehabilitation >
      • Occupational Therapy
      • Physical Therapy
      • Speech Language Pathology
    • Assisted Living
    • Senior Life Solutions
    • Social Services
    • Wellness Center
  • Careers
  • Patient
    • Patient Portal
    • Patient Services
    • Financial Services >
      • CMS HPT
    • Online Payments
    • Financial Assistance
    • Medical Record Request
    • Price Transparency
    • Forms
    • Privacy Policy
  • Contact Us
  • Patient Family Advisory Council
  • Visitor Guidelines
  • Gift Shop
  • Send a Smile
  • Cornerstone Café
  • The DAISY Award
  • Heritage Plaza
  • Community Resources