Requests for PPE From Masks4Medicine
What is the name of the healthcare facility this PPE donation is for? (Please know that we are prioritizing NYC facilities and nearby areas for now, but as we grow in supply, we will be sure to reach out to you if located elsewhere!)
What department are you from?
If other healthcare role, please describe. OR if you are not a healthcare delivery facility, what is the mission of your organization?
What is your role?
If other, please describe
What is your name?
Your phone number (cell phone is preferable for texting)
Your email address
Is this PPE for direct COVID-19 patient care?
How many N95s do you need?
How many surgical masks do you need?
How many fabric masks do you need?
Are you looking for other PPE supplies (gloves, gowns, face shields, etc?) Please indicate type and amount needed.
Other information you'd like to provide
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