Contact Us — Hearts for ALS NY

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Please use the following form to contact us with any questions, ideas, volunteer requests or feedback that you have. We will review your message and get back to you as quickly as possible

If you are or know someone that would like to register with us, please download the following forms (PDF format):

Patient Request Form | Patient Registration Form

If you would like to make a donation, please click here or send your donation to the following address

HEARTS FOR ALS NY

P.O Box 10593

ROCHESTER, NY 14610

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First Name

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Please describe yourself: *

I have been diagnosed with ALS

I am the caregiver for someone with ALS

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I would like to volunteer

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How did you hear about ALS NY? *

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Attended a Hearts for ALS NY Event

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Thank you!

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© 2024 Hearts for ALS NY

P.O Box 10593
Rochester, NY 14610

Hearts for ALS NY, Inc., is a 501(c)(3) Not-for-Profit Organization

Tax ID# 56-2399744