PPE Donation: Pick-up Request Form (No Contact)
Please note: Hospitals will only take NEW or UNUSED supplies (packages can be open).

Before handling any of the supplies, please wash your hands for 20-30 seconds with soap!

THANK YOU for helping your fellow New Yorkers at this time of crisis.
Email address *
Name *
Your answer
What supplies can you donate? (any amount helps!)
1 to 10
11 to 50
N95 Masks
Surgical Masks
Advanced respirators (PAPR, CAPR, etc.)
Procedural masks
Face Shields
Disinfectant Wipes
Surgical gowns
Protective suits (fluid resistant)
Medical Coveralls
Head covers
Shoe covers (disposable booties)
Phone chargers
Are your donations 1) NEW and unopened or 2) UNUSED in an open package? Give exact quantity here too please :) *
Your answer
Where to Pick Up? Address (i.e. 1234 5th Ave) *
Your answer
Building Name (if applicable)
Your answer
City *
Your answer
Zip Code *
Your answer
Any specific pickup instructions we need to consider? (i.e. time ranges that work, doorman to coordinate, larger donations, etc.)
Your answer
What is your phone number in case we need to reach you? We'll text/call only if there's an issue with pick-up. *
Your answer
Optional: Add a note to our healthcare workers! We'll post on our website, social media, and share with hospitals in the area :) Thank you!!
Your answer
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