Membership will show your affiliation with one of the world’s premiere health, research & teaching hospitals.  Members are invited to attend exclusive social gatherings and networking events, serve on committees, take on leadership roles and gain the satisfaction of making a difference through valued community service.

It is now easier than ever to become a member!  Simply fill out the form below and make an annual contribution of $50 or more to UCSF Partners in Care.  Each contribution helps us fund more of the worthy grant requests we receive.

Complete the Form below & submit electronically or if you prefer to print and mail,  Click here to download a form to print out ››

Items marked with * are required

Membership Application Form

Please provide us with the following contact information so that we can send acknowledgements, tax receipts, invitations or eNewsletters, if you so indicate.

*To reduce expenses and to be environmentally conscious, email will be the primary communications channel with our members. We appreciate your support.

Please indicate if you would like to receive:

Please let us know your areas of expertise or participation interests for any of the following aspects of our organization: (check all that apply)

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Membership requires a minimum $50 annual donation. Your donation supports UCSF Partners in Care’s ability to help patients and families at UCSF Medical Center and UCSF Benioff Children’s Hospital when they are in greatest need.