The Brigham Legacy Society is an honorary society established to recognize and thank individuals during their lifetime for provisions they have made for future gifts to Brigham and Women’s Hospital or Brigham and Women’s Faulkner Hospital.

Brigham Legacy Society Member Form


The information you provide about your legacy gift will ensure that our records are accurate and that we use your gift in the way that you intend. We are happy to provide you with suggested bequest language if you wish. We recognize that the value of your future gifts and the governing legal provisions may change over time.

My/Our future gift is from:
The estimated value of my/our future gift is:
If you do not wish to provide the exact amount, please identify your gift range below:
My/our future gift will support:
The Brigham will receive this gift:
My recognition and communication preferences are as follows:
I/We prefer to be contacted by (check all that apply):