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Mended Hearts Membership - Loma Linda University IHI
Mended Hearts
How you can get involved
There are many interesting things you can get involved in.
- Visiting patients and their family in the hospital
- Calling patients at home to give support
- Assisting in development of monthly newsletter
- Participating in health fairs and other special events
- Developing heart disease rehabilitation programs
- Visiting patients via the internet
- Being part of the executive board or other committees (e.g. social)
- Joining the volunteer program at Loma Linda University Medical Center in areas like gift shop, health fairs, ICU (as Snugglers), Children's Hospital as readers, and many, many other interesting areas
Call at (909) 558-8180 to gain more information about Mended Hearts or call (909) 558-4654 to learn more about becoming a volunteer.
How to become a member
Members consist of heart patients, spouses, health professionals and other interested persons.
If you are interested in meeting others with similar experiences and gaining useful information related to heart disease then please print the below membership form and submit this application with a check payable to:
Mended Hearts, Inc., Chapter #34
ATTN: Gene Thompson
1184 Le Conte Drive
Riverside, CA 92507
| Individual | family | |
| First year dues are | $24 |
$34 |
| Renewal fees are | $17 | $27 |
Membership form
The Mended Hearts, INC
Chapter 34 Loma Linda University Medical Center
Patient Information
Chapter 34 Loma Linda University Medical Center
MEMBERSHIP APPLICATION
All dues and donations are tax deductible (IRS 50103)
I would like to become a member of Mended Hearts, Inc.
We would like to have a family membership in Mended Hearts, Inc
I am not a heart patient but I wish to support the work of Mended Hearts, Inc
I am not prepared to join the Mended Hearts, Inc. but I enclose a contribution of $________________
Name: ___________________________________________ Patient
Spouse:___________________________________________ Patient
Address:__________________________________________
City: __________________ State_______________ Zip ____________
Phone: (____)_______-_____________
Date of birth: ____/___/___ Spouse:___/___/___
Patient Information
Date of surgery: ___/___/___
Coronary Angioplasty Pacemaker
Congenital Heart Defect Coronary Artery Bypass
Aneurysm
Other ______________ No heart maladies
I would like to help with:
Visiting patients Newsletter
Typing Phone committee
Work on committee Social committee
First year dues are Please submit this application with
$24 (individual) or $34(family). a check made payable to: Renewal fees are Mended Hearts, Inc., Chapter #34
$17 (individual) or $27 (family) ATTN: Gene Thompson 1184 Le Conte Drive Riverside, CA 92507