PPE Care Package Donation Form
***UPDATE as of April 14: WE ARE NO LONGER MONITORING THIS FORM.

You are welcome to contact us at ppe.care.packages@gmail.com and we will try to send you any updated information we have on current donation needs.

We've helped in the most urgent time-- now, we hope that hospitals are becoming more able to source their own PPE, and have brought our small-scale-help effort to a close!

If you were a donor and haven't received our updates and reports, please let us know at ppe.care.packages@gmail.com.

Thank you for your support!






--The following is from the original form---

DISCLAIMER: Please find the disclaimer at the end of this form.

This is a volunteer effort organized by healthcare and business professionals and other concerned citizens based in Asia. We have been dealing with COVID-19 since January and hope we can help others who are facing the surge in cases worldwide. We hope the medical professionals will get what they need.

HOW THIS WORKS:

1. If you are able to donate Personal Protective Equipment (“PPE”) or money towards the purchase a medical staff in need of PPE, please fill out this form.

2. Your submission goes to a Google spreadsheet.

3.  If you are a medical professional requesting PPE, please use this form instead: https://forms.gle/HrgxaXoPgkoeBv9XA

4. A volunteer will match your email to someone who needs PPE items.

5. You should receive an email to sort out the items and shipping details with that person. DO NOT ASK THEM TO PAY FOR ANYTHING. You're here to donate supplies.

6. At this point we've done all we can. Please do your best to get them what they need!
 
The only purpose of this form is to get PPE to those who need it as quickly as possible. This form has no affiliation to any official organization, it is being run by volunteers who are just trying to help however they can.
 
You can send feedback to ppe.care.packages@gmail.com.

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Name *
Email *
Which of the following would you be able to donate? Please indicate the number of items you wish to donate in the "Other" line. If you're donating money, please see "Regarding Monetary Donations" below. *
Required
Are you able to procure and ship items yourself or do you need guidance? Even a small amount from your personal stock helps! *
Required
Regarding Monetary Donations
For those of you who would like to contribute monetary donations, please indicate the amount and currency below. Although we do not collect funds, we would need to get a rough idea of how much is available when an opportunity is present.

We are currently sourcing for PPE for medical professionals, prioritising New York-based ones. Once a buying opportunity is clear, we will contact you to match you up with the supplier to arrange payment. We will help match up your donations with the medics in the US, so you would know exactly where your money is going towards.

Please note that any monetary transfer among the donors and/or to the chosen vendor is solely at your discretion, and does not involve any of the volunteers and/or organisers of this initiative.
For those who would like to make monetary donations, please indicate the amount and currency below.
Any other comments / suggestions / concerns / issues?
Disclaimer
We emphasize that neither volunteers, the organizers of this donation drive, or donors are PPE experts, associated with manufacturers of PPEs or manufacturers of PPE. They are merely contributors of assistance or funds in the purchase and shipping of PPE as requested and selected by you. Neither the volunteers, the organizers of this donation drive or donors have assessed PPE sent to you for its efficacy to prevent nosocomial infection in health care workers per se or as compared with other PPE and such may not be FDA or NIOSH approved.
 
VOLUNTEERS, DONORS AND ORGANIZERS OF THIS DONATION DRIVE ARE PROVIDING PPE “AS IS” AND WITHOUT ANY REPRESENTATIONS AND DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING THOSE OF QUALITY, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR INFRINGEMENT, OF ANY PPE OBTAINED USING THIS FORM AND WILL NOT BE LIABLE FOR ANY LOSSES OR DAMAGES IN CONNECTION WITH THE USE OF PPE THAT MAY BE SENT THROUGH THE USE OF THIS FORM.

Do you agree with the disclaimer above? *
Required
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