Join Us in the Fight for
Long Term Care Justice!

Please print and fill out the form below, and mail it with your check to:
CANHR, 650 Harrison Street, 2nd Floor, San Francisco, CA 94107

(You can also donate online through a secure credit card transaction.)

Yes, I want to help CANHR fight for residents’ rights and quality care in long term care!

Enclosed is my check for:

$500.00

$100.00

$50.00

$30.00

Other________

This gift is in memory of: _________________________

This gift is in honor of: ___________________________

Contact me about legislation and other advocacy opportunities.

Send me The Advocate via email.

Name (please print): ____________________________________________

Organization: __________________________________________________

Address: ______________________________________________________

City, State, Zip: ________________________________________________

Phone: __________________________

E-mail: __________________________

Please make checks payable to CANHR.
CANHR is a 501(c)(3) organization; contributions are tax–deductible to the extent allowed by law.

CANHR prohibits the use of its name for the purpose of advertisement by attorneys, financial planners or any other organization or entity.

By donating to CANHR you will:

• Receive our quarterly newsletter, The Advocate, which includes a detailed report of citations issued against individual facilities and important long term care information.


• Receive periodic updates on important legislation.


• Join a statewide network of informed and concerned consumers, caregivers, and advocates.