:: Ohio Pain Initiative: Donations

Ohio Pain Initiative
555 Metro Place North
Suite 650
Dublin, Ohio 43017
P: (614) 763-PAIN (7246)
F: (614) 763-0050
E: ohiopain@ohiopaininitiative.org




The Donation Form is in Acrobat PDF format. Get the FREE Adobe Acrobat Reader.

 Your donation helps us toward our mission of optimal pain management for all Ohioans. With your support OPI can continue to provide educational programs for healthcare professionals and to develop, print, and distribute educational resources for healthcare professionals, healthcare consumers, and the general public.

Donate on-line right now using PayPal
Donate by mail with this Donation Form (pdf)

Donor Information
Your Name:
Address:
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Zip:
Amount of Donation:
In Honor or Memory of
If this donation is in honor or memory of an individual please complete the following.
No Thank YouIn Honor of In Memory of
Name:
In Honor or Memory of notification
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(The Ohio Pain Initiative is a non-profit 501 (c) (3) tax exempt organization)