Maricopa County Ventilator Request
We understand this is an emergency request and we will respond to your inquiry as soon as it is processed. Thank you for your patience and understanding.

Please feel free to contact the Ventilator Team at (602) 359-1495 or at if you have any questions or concerns.
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Facility Name *
Type of Facility *
Point of Contact (POC) Name *
POC Phone Number *
POC Email Address *
Has it been confirmed there are no ventilators available from other locations in the requested facility's corporate system? *
It is highly recommended that you pursue this option prior to submitting a ventilator request through Maricopa County.
Number of ventilators currently in use in the requested facility *
Total number of ventilators currently at requested facility *
Requesting facility's current ventilator capacity *
Number of ventilators being requested for the identified facility *
Please consider the number of trained personnel required to operate ventilators and the space required per unit when determining the number of requested ventilators.
Is there any type of ventilator the requesting facility cannot accommodate? *
Is there any any additional information that will provide a better understanding of the requesting facility's need for additional ventilators? *
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