Membership Form

We want to thank you for your incredible support. By including a gift to Massachusetts General Hospital or Brigham and Women’s Hospital in your future plans, you have made the delivery of medical breakthroughs part of your personal legacy.

The information you provide below about your legacy gift to Mass General or the Brigham will ensure that our records are accurate and that we use your gift as you intend. This is not a binding legal document, and your information will be kept confidential. If you have any questions, please contact Kathleen S. Duffy, at 617-643-2220 or giftplanning@mgb.org.

Mass General Brigham
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