Loan Closet Inquiry Form
The Lab has a growing inventory of AT equipment to loan over a 2-week period. This free Loan Closet is made possible by the Christopher & Dana Reeve Foundation and the Sidney & Lillian Zetosch Fund of the Oregon Community Foundation. Pick-up and drop-off are in-person during Thursday Open Hours by appointment, at the AT Lab in Portland, Oregon. Free instructional support is provided at pick-up. DUE TO COVID, WE HAVE CONTACTLESS PICK-UP/DROP-OFF OUTSIDE OR IN OUR COVERED GARAGE.

Loan items are FREE of charge. We welcome any financial donations to help maintain and update our loan equipment: https://cv-atlab.org/get-involved/donate/

Please fill this form out to start the Loan process. We will contact you within 2-4 business days. Thank you!
Email *
Your Name *
AT User's Name (if different)
AT User's Age *
Phone number *
Preferred method of contact
Clear selection
City, State *
I am a... *
Required
If you responded "person with a disability" or "family member": Do you have a therapist, teacher, or another person with whom you are working to identify AT? If so, please provide name and title of person. If not, are you interested in learning about where to go for an AT assessment or consultation?
If you responded "care provider" or "professional": What is your title and organizational affiliation?
I am interested in borrowing... *
Required
Is there anything else you would like us to know? Feel free to add more detail about the AT you are looking to try.
How did you find out about the AT Lab Loan Closet?
A copy of your responses will be emailed to the address you provided.
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