We need supplies

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We need supplies

IMPORTANT ANNOUNCEMENT: This program is closed as of 1/1/21. Thank you everyone who have helped donated supplies to our front-line and health workers. Your work is greatly appreciated and have helped make a difference in under-represented communities.

Please help us complete this form if you have PPE and/or medical supplies you'd like to donate.

Email *

Who are you? *

501(c)(3) non-profit

Hospital representative

I’m a doctor

I’m a durse

I’m a healthcare professional

I’m an individual who wants to help

Other:

First name *

Last name *

Organization/Hospital *

Your position *

Phone number *

What supplies do you need? *

Your shipping address *

How else can we help you?

A copy of your responses will be emailed to the address you provided.

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