Started more than 25 years ago, The Mayo Legacy honors those who provide a bequest in their will, estate plan or another type of planned gift to support Mayo Clinic's work. One of the hallmarks of The Mayo Legacy is respecting confidentiality. Whether or not you are recognized publicly as a member of The Mayo Legacy is entirely up to you.
Please fill out the form below so that we can recognize you appropriately and with your wishes in mind.
In order to confirm who completed this form, please fill out your name and email address.
Select how you prefer to be publicly recognized at Mayo Clinic. Leaving an item unchecked indicates that you prefer to NOT be recognized in that manner.
Mayo Clinic features benefactor profiles and stories in electronic displays, websites and publications. We invite you to submit a personal message or testimonial about your relationship with Mayo Clinic and your philanthropic commitment. These stories serve as a way to honor benefactors and inspire others. Please submit a brief (2-3 sentences) message or testimonial below. Your name, statement and photograph will be displayed according to your recognition preferences above.
Mayo Clinic invites you to submit a personal photograph. Please email your photo to firstname.lastname@example.org.
Tips for choosing a photo to submit:
Thank you for your friendship and generosity!
After submitting, please do not leave this form until you see the confirmation message.
Your Mayo Clinic number is a 7, 8 or 9-digit number we assign to you as a new patient prior to your first visit. You can find it near the top of a range of documents, including pre-visit questionnaires, clinical notes, care summaries, and correspondence.
If you do have Mayo paperwork handy, it's often quickest simply to look for it there. Scroll down to see some examples of how the number shows up: