Lewisville: Park Lane Village, 502 S. Old Orchard Lane, #126, Lewisville, TX 75067 | 972-436-7962
Dallas: Spring Creek Village, 7989 Belt Line Rd, #120, Dallas, TX 75248 | 214-420-8008

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Make a Contribution


Healthcare for Every Kid

With your support, we can work together and continue to provide quality and affordable healthcare to the children in our community.  Here are a few ways your gift will help:

CONTRIBUTION PROVIDES TO PEDIPLACE
$5,000 Free back-to-school sports physical clinic for 100 children
$2,500 Medication and lab testing for uninsured children
$1,000 Annual check-ups for 12 uninsured children
$500 Six recommended medical check-ups at no cost for a newborn baby to 15 months
$250 Education classes for parents of newborn children
$100 Promotes literacy for children ages 6 months to 5 years
$80 An annual check-up to help a child stay healthy
$50 An office visit when a child is ill
$25 A breathing treatment machine for a child with asthma

With your generous gift, we work together to provide quality and affordable healthcare to the children of our community. Thank you for your support.

Contribution Information

Name:
Organization:

Address:
City:
State:
Zip Code:
Email Address:
Daytime Phone:

I/we wish to make a contribution in the amount of

$1000 $500 $250 $100 $75 $50 $25

Would you like your contribution to go to the Family Care Fund? Learn More

No
Yes

I wish for my gift to remain anonymous

In Memory, In Honor Of or In Celebration Of
If you would like to make this donation in memory or honor of someone, or in celebration of a special occasion, please complete the section below. The amount of your gift remains confidential.


Person's Name(s)/Event:
 

Send Acknowledgement(s) to:
 

Thoughts and Expressions:

Payment Information


Make contribution online:
Credit Card Type:
Credit Card Number:
Name on Card:
Expiration Date:  /
CV2 Security Code:

Please make checks payable to:
PediPlace
502 S. Old Orchard Lane, Suite 126
Lewisville, Tx 75067

I would like to receive information about future event opportunities.

Refund Policy: Refund will be processed within 30 days of notification.


 
 

Locations

Lewisville Location
Park Lane Village
502 S. Old Orchard Lane,
Suite 126
Lewisville, TX 75067
Tel: 972-436-7962
Email: info@pediplace.org
  Dallas Location
Spring Creek Village
7989 Belt Line Road,
Suite 120
Dallas, TX 75248
Tel: 214-420-8008
Email: info@pediplace.org


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