doTERRA Healing Hands® Emergency Relief Kit Request Form
When disaster strikes, always take care of yourself and your family first. If you’ve secured your personal safety and you want to help others, doTERRA Healing Hands will provide 72-hour Emergency Relief Hygiene Kits for you to distribute, free of charge. These kits were purchased by other Wellness Advocates and then stored by doTERRA®, so they’re ready to ship when you need them.

Each kit contains a supply of personal care items along with instructions for use in both English and Spanish. Wellness Advocates living in or near a disaster zone can request kits to distribute in their surrounding communities by completing this form. Please note that we only ship Emergency Relief Kits to US and Canadian addresses. If you have questions, please email disasterrelief@doterra.com.
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First and Last Name *
doTERRA ID Number *
Email Address *
What is your shipping address? The kits will be distributed to this address. 
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What is your phone number? *
How many kits are you requesting? *
Why are you requesting Emergency Relief Kits? *
Please provide a brief explanation of the disaster or emergency for which you're requesting kits. *
When did the disaster or emergency happen? *
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Where did the disaster or emergency happen? *
On what date are you planning to distribute the kits?  Please note that it can take a few days for the kits to ship to your location. *
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Have you contacted your city's Emergency Services Manager already to determine where and how kits will be most effectively distributed? *
Don't know how to contact your city's Emergency Services Manager?
If you have not contacted your Emergency Services Manager about this distribution yet, type "Who is the emergency services manager for [name of the city where the disaster happened]?" into an online search engine. That should pull up a page on the city's website about emergency service management, which should include a way for you to contact the emergency management team.
According to your city's Emergency Services Manager, how many people are in need of 72-hour Emergency Relief Hygiene kits? Please note that we usually don't send more than 100-200 kits at a time.
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According to your city's Emergency Services Manager, how will the kits be most effectively distributed for this disaster?
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Required
Who will distribute the kits? *
I acknowledge that I understand: 1.) I am expected to send an email to disasterrelief@doterra.com after distributing kits with a short summary of my experience and a few images from my distribution, and 2.) Because of the sensitive nature of disaster situations, I will only take photos of people if I have their permission.
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Required
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