Maryland AT Reuse Program Application   
  The Maryland High-Tech Assistive Technology Reuse Center (MATR) is a program of the Maryland Department of Disabilities, AT Program.

MATR provides high-tech assistive technology to individuals at no cost for as long as they need it with the expectation that it will be re-donated when the user is finished with the device.

By completing this application, you are requesting access to a gently used, donated device. 
For questions about available equipment or the application process, please email:
MDTAP.AT-Reuse@maryland.gov.

You can find more information about the High-Tech AT Reuse Program online.

**MATR program deals exclusively in Assistive Technology. If you are in need of medical equipment 
(walkers, wheelchairs, rollators, etc.) please contact Maryland Department of Aging's reuse program.**

**MATR does not accept computers/tablets or smart phones, therefore donations of this type of equipment is rare**

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Email *
Name (First & Last) *
Phone Number *
Preferred Method of Contact *
Required
Is spoken English your primary language of communication?  *
Do you require translation services? *
If yes, what translation support can we help provide you with?
Address (Street, City) *
Zip Code *
Are you a US Veteran or a family member of a US Veteran?  *
Disability (Check all that apply) *
Required
What kind of equipment are you in need of? 
(categories with ** have certain limitations)
 *
Required
Please explain what you are looking for and why. 

If it is a specific device, please state. 
You can search our inventory:
 *
Where will you primarily be using this equipment?
 *
Please check why you require assistance obtaining equipment (check all that apply)
 *
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