ALAMEDA COUNTY EMS PPE Request Form
The Alameda County Cal Chiro Association has teamed up with Alameda County Emergency Medical Service to help with the demands of Personal Protective Equipment (PPE). We are specifically serving chiropractors who practice in Alameda County.
The Alameda County EMS has a limited supply of PPE. All providers, including hospitals, who are challenged directly with COVID-19 patients are given priority. The County is allowing only 1 PPE kit per chiropractor for now.
This form should only be used by Alameda County chiropractors that are requesting resources that specifically relate to the COVID-19 incident. This includes medical supplies such as surgical masks, hand sanitizers, gloves, etc. Please continue to check in with your vendors and source new vendors to be able to procure supplies independently. A resource request should only be submitted when your office is unable to procure supplies elsewhere. Please answer the questions as honestly as possible.
If your primary practice is in another county and recently (March 1st, 2020) added a Satellite office in Alameda county in order to get free PPE, then your request is VOID!
Offices located outside of Alameda County should contact their City or County Emergency Operations Center(s) to determine their process. Out of county resource requests will not be filled.
Additionally, we will NOT be filling any requests for household items such as soap, bleach, toilet paper, paper towels, tissues, garbage bags, etc.
We have put together a standard package for you, the doctor. Only 1 package per doctor!
The package includes:
1 Box of 20 masks: Karats Folding Masks GS-PPE250a (N95)
4 Boxes of 50 masks: Standard Ear Loop Masks (Light Blue)
2 Boxes of 100 gloves*: S, M or L
1 Individual Item: JYQ-B001 Digital Thermometer
1 Bottle (gallon): Hand Sanitizer
1 Bottle (gallon): Performex RTU Disinfectant Cleaner.
*Please let us know what size glove you wear.
If you have any questions, please feel free to call me, Dr. Jasmine Danh, DC at 510-509-0170. Thank you.