"Print-and-Mail" Fund Appeal


Various funding opportunities are available to support our mission of excellence in patient care, research and education.

To send a check, please print out this page, complete the information and mail it to the address below.

[You may also make a donation online]


I wish to support the work of the Division of General Internal Medicine, and enclose my contribution of:

$250__    $500__   $1000__   other___________

I, _____________________________ wish to make this contribution in honor of ________________________________ ,

in memory of ___________________________________.

I would like to learn more about the Division's work, and would appreciate more information about the following programs: (circle)

  • Faculty Mentoring
  • Biomedical Informatics
  • Primary Care Residency Training Program
  • Practice-Based Research / Translational Research
  • Innovations in Medical Education
  • Initiatives in Patient Engagement

Other (specify):________________________________

Name: ______________________________________ Address: ___________________________________

City/State/Zip: ______________________________________________


To make a donation, please print out this page, complete the information and mail it to the address below.

Please make your check payable to the NYU School of Medicine and return your gift with this form to:

Division of General Internal Medicine, NYU School of Medicine, 550 First Avenue, OBV-619A, New York, NY, 10016

Thank you for your support of the Division of General Internal Medicine!