SE Michigan Small Businesses - PPE Supplies
Our health system has a critical shortage of personal protective equipment (PPE) for its healthcare providers.

A community effort is being launched to 'crowdsource' PPE from southeast Michigan small businesses that may have these supplies and are willing to donate to them to a local hospital.

Similar PPE crowd-sourcing efforts have been undertaken across the country and were written about in the March 23, 2020 edition of the New York Times (https://www.nytimes.com/2020/03/23/health/medical-students-coronavirus.html).

We have verified the specific equipment needs listed below with the hospitals listed (as of March 25, 2020).

Thank you for your partnership and commitment to our community.
Sign in to Google to save your progress. Learn more
Email *
Your Full Name *
Your Phone Number *
Your Business *
Example: Main Street Tattoos
How many of the following PPE supplies can you donate?
<10
11-25
26-50
51-100
100+
Full plastic-shield facial masks
3/4 length plastic face shields
N95 facial masks
Isolation mask
Surgical mask
Goggles
Vinyl gloves (pairs)
Latex gloves (pairs)
Isolation gown
Surgical gown
Surgical caps
Protective caps
Disposable foot covers
Nasal testing swabs
Powered Air Purifying Respirators (PAPRs)
M4 viral media
Hot glue sticks
Brown paper bags
When can you donate these supplies?
Now
Within Three Days
Within A Week
Within Two Weeks
Within Three Weeks
Full plastic-shield facial masks
3/4 length plastic face shields
N95 facial masks
Isolation mask
Surgical mask
Goggles
Vinyl gloves (pairs)
Latex gloves (pairs)
Isolation gown
Surgical gown
Surgical caps
Protective caps
Disposable foot covers
Nasal testing swabs
Powered Air Purifying Respirators (PAPRs)
M4 viral media
Hot glue sticks
Brown paper bags
Can you deliver these supplies? If so, to which of the following hospitals or drop-off centers?
*** IF YOU'RE UNABLE TO DELIVER, WE CAN ARRANGE FOR THE SUPPLIES TO BE PICKED UP ***
Yes
No
Ascension - St. John Hospital (22101 Moross Rd, Detroit, MI 48236)
Ascension - St. Joe's (5361 McAuley Dr. Ypsilanti, MI 48197)
Beaumont Hospital (26901 Beaumont Blvd. Southfield, MI 48033)
Beaumont Hospital (29165 Ecorse Road, Van Buren Township, MI)
Michigan Medicine [U-M] (2800 Plymouth Rd Ann Arbor, MI 4819)
St. Mary's Mercy (36475 Five Mile Rd, Livonia, MI 48154)
Canton Township Public Safety (1150 S. Canton Center Road Canton, MI 48187)
Northville Township Public Safety (45745 Six Mile Rd. Northville, MI 48168)
Clear selection
OPTIONAL: The address where the supplies are located (this will only be used to help coordinate any volunteer pick-up of the supplies to be donated)
Example: 123 Main St. Plymouth, MI 48170
Is there any additional context we should know about your PPE supplies or partnership? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms