Mail/Fax Printable Form

Thank you for considering a donation to the Medicare Rights Center!

Your generous gift will support our efforts to reach as many Americans as possible with the information they need to understand their Medicare rights and options. And it's tax-deductible to the full extent of the law.

Download our printable donation form now.

Please mail or fax your completed form to:

Medicare Rights Center
520 Eighth Avenue
North Wing, 3rd Floor
New York, NY 10018
ATTN: Donations Processing

Phone: 212.869.3850
Fax: 212.869.3532

Your support of the Medicare Rights Center is deeply appreciated.