KC PPE Donation registration
Thank you for your consideration! Please note your supplies below. If you have any more questions, see: https://www.facebook.com/KcPPEdrive/ for questions and conversation.
Email address *
What is your name? *
Business name? N/A if does not apply *
What is your preferred method of contact? *
What is your phone number? *
What supplies would you like to donate? If more than 5 please specify number in the comment section at the bottom of the form. (Supplies must be unopened boxes)
1
2
3
4
5+
PAPR's (powered air-purifying respirators)
N95 masks
Surgical masks
Disposable gowns (paper, plastic)
Eye protection (goggles, face shields, wrap-around)
Rubber gloves - Latex
Rubber gloves - Not latex
Hand sanitizer/containment units/spray bottles
Bleach wipes (sodium hypochlorite)
Cloth masks (will not be distributed to our healthcare members, but to the community)
Clear selection
Dropping off supplies
Area hospitals have given us locations where they will be accepting supplies. Please select a location and we'll let you know when the best time to drop off is, or we will coordinate a pick-up for you. All with proper social distancing precautions of course!

Liberty MO Residents: The hospital is running its own collections. Please see: https://tinyurl.com/sbqun44
St. Luke's specific PPE drive: https://www.saintlukeskc.org/covidsupport
How would you like to donate? Select a location if you are dropping off supplies: *
Would it be acceptable to publicly thank you and your donation via social media outlets (Facebook, Instagram, Twitter) *
Comments
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