Donating Tech: TeleHealth for Seniors (
telehealthforseniors.org
)
Please provide any camera-enabled smart devices you have at home. Old chargers are also incredibly helpful. If you wipe / reset your device to factory settings, all of your information will be deleted and it will be safe for others to use. By providing seniors and low-income (who are often on subsidized health insurance) with video-enabled devices, they will be able to take advantage of free wifi hotspots with Spectrum, or use the wifi outside of doctors' offices to conduct their doctors' appointments. We can provide seniors with guidance on how to set up an email and account for telehealth!
Important: All devices must have a FRONT CAMERA. We only accept functional smart devices. We cannot accept flip phones or devices that do not work.
Before you turn in your device, you MUST erase all data. For iPhones/iPads please ensure that you disable Activation Lock and Find My iPhone. For Samsungs/Androids.
ALL DEVICES MUST BE CHARGED, RESET, AND WIPED DOWN ACCORDING TO CDC PROTOCOL. Please see our guide for tips on resetting your device from our website here:
https://drive.google.com/file/d/1Td-nMAIcdwsPV1rjUlcN-KAUNLrEy2jg/view
(TeleHealth Access for Seniors is a 501(c)(3) nonprofit. Your donations may be tax-deductible).
View Website:
telehealthforseniors.org
* Required
First Name
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Your answer
Last Name
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Your answer
Email
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Your answer
Phone Number
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Your answer
Which devices can you give?
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iPhone 11
iPhone X
iPhone XR
iPhone XS
iPhone 8 plus
iPhone 8
iPhone 7 plus
iPhone 7
iPhone SE
IPhone 6s plus
iPhone 6s
iPhone 6 plus
iPhone 6
iPhone 5S
iPhone 5c
iPhone 5
iPad 4th Generation, Air and Newer
iPad 3
iPad 2
Laptop
Samsung Galaxy s6
Samsung Galaxy s7
Other Android Phone
Other Android Tablet
Other:
Required
How many of the selected devices can you give?
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Your answer
Do you have accompanying chargers you can give as well? (We accept cords and blocks.)
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Cord
Block
None
Required
Is the device fully functional? As in, does it turn on and work? We only accept fully functional devices.
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Yes
No
Please check which requirements you can meet. We can only accept devices that meet all three.
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Reset to factory settings
Charged
Sanitized thoroughly with Clorox wipes, alcohol wipes, placed in a clean, unused bag.
Required
Please select which region you are located in / closest to. Our volunteers and medical providers are located in these regions. If you are not in any of these regions, please click other.
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Austin
Arkansas
Arizona
Chicago
Connecticut
Dallas
Georgia
Iowa
Los Angeles
Orlando
Tampa
San Diego
San Francisco
South Florida
South Carolina
Texas
Minnesota
Ohio
Pennsylvania / Philadelphia
Houston
Indiana
Rhode Island
Syracuse Area
NYC Metro Area
Maryland
Massachusetts
Maine
Nevada / Las Vegas
New Hampshire
North Carolina
Virginia
Vermont
West Virginia
Washington State
Other:
Can you ship your devices to us? We will email you with more information on where to send your devices.
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Yes
No
IF you cannot ship within your state: what is your address? We will do our best to have a volunteer in your area contact you and pick up these devices from a safe distance.
Your answer
How did you hear about us? Please mention if a specific volunteer in your area directed you to our form in the "Other" category.
Facebook
Instagram
Website
Other:
Would you like an official donation receipt for your tax records? Official donation receipts will be emailed to the email indicated on this form within 30 days of receiving the device and confirming it is functional.
*
Yes
No
Required
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