Patio Garden Donor and Brick Information Form

Step 1: Donor and Brick Information

To impact MedStar Georgetown University Hospital patients, now and in the future, with the purchase of a brick in the patio, please begin step 1 by completing the form below.

Engraving limitations:

  • 4x8" brick - 3 lines of engraving per brick, 14 characters per line including punctuation and spaces.
  • 12x12" brick - 5 lines of engraving per brick 13 characters per line including punctuation and spaces.

* Please note all engraving is subject to review.