Surgical Masks Request - Houston
ProvidePPE is a team of volunteers who are dedicated to donating free PPE to America's forgotten front lines of the COVID19 outbreak. We are distributing 3,000 surgical masks in Houston by July 17, 2020.

Our top priority is to send our medical-grade masks to healthcare providers and essential workers in the most under-resourced communities. Our beneficiaries include nursing homes, hospital workers, poverty alleviation volunteers, cancer clinics, dialysis centers, and COVID testing centers, as well as to essential workers like delivery drivers, grocery and restaurant employees who may not be able to get masks otherwise. We are aiming our efforts at people who could become “superspreaders” should they contract the virus.

If you fall under any of the above categories, please complete this request form. We will respond as long as supplies are still available. All personally identifiable information will be kept strictly confidential.

www.ProvidePPE.org
First name *
Last name *
Phone number *
Email *
Name of organization requesting masks *
Your role *
Which of these describe your organization? *
Required
If you checked "Other" in the above question, please explain:
Tell us about the PPE challenge your organization is facing right now. This will help us determine the order in which masks are delivered. *
Minimum number of masks needed *
Please provide a secure shipping or drop-off location
Street *
City *
State *
Zip Code *
Submit
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