A Family is a Family Every person who needs care gets care Every refugee in a new city Every family in a homeless shelter Every child with a dream For 6 generations, we have served as a family doctor for immigrant families. We make no distinctions based upon citizenship, religion, race or ability to pay. 100% of your gift will fund FREE healthcare services for immigrants, homeless families and victims of domestic violence. Healthcare for all IS possible. You are the key. Step 1: Donation Information I want to help The Floating Hospital with a gift of:*$50$100$250$500OtherOther Amount ($)Enter in just the number. Type of Donation*I want to help The Floating Hospital with a single gift of:I want to become a Floating Hospital Sustainer with a monthly gift of: (charges are made on the 15th of each month) Step 2: Billing and Contact InformationTotal Gift Amount $0.00 Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email Address* Step 3: Credit Card InformationTotal Gift Amount $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged. Donate This iframe contains the logic required to handle Ajax powered Gravity Forms.