Foundation Donation Form


Contributions help the NCAFP Foundation realize better health for all North Carolinians. To contribute, please complete the following form and follow all instructions. For immediate questions, please contact Tracie Hazelett at the NCAFP Foundation at 919-980-5357.


Please enter the amount you wish to donate.

Donor Information
Select How Your Contribution Is To Be Used
NCAFP/F Legacy League Planned Giving with the NCAFP/F Legacy League - The North Carolina Academy of Family Physicians Legacy League has been established to recognize those who make provisions through their estate for the NCAFP Foundation, Inc. By making such a planned gift, members of the Legacy League help ensure that the Foundation will have the financial resources to provide vital programs and services to future generations. A planned gift can help the Foundation make a significant difference for the future of family medicine.
The Foundation is a 501(c)(3) nonprofit organization registered with the Internal Revenue Service. Financial information about this organization and a copy of its licensing are available from the state Solicitation and Licensing Section at (888) 830-4989. The license is not an endorsement by the state.
Personal Info

In order to complete your offline donation we ask that you please follow these instructions:

  1. Make a check payable to "NC Academy of Family Physicians Foundation"
  2. On the memo line of the check, please indicate that the donation is for "NCAFP Foundation"
  3. Please mail your check to:
    NC Academy of Family Physicians Foundation
    2501 Blue Ridge Road, Suite 120
    Raleigh, NC 27607.

All contributions will be gratefully acknowledged and are tax deductible. If you have any questions, please contact Tracie Hazelett at the NCAFP Foundation at 919-980-5357.

Thank you.

Donation Total: $25