PPE Registry for Healthcare Providers
We want to help!
We are pooling personal protective equipment (PPE) and using the support of our community donations from our Knix GoFundMePage to create centralized supplies for distribution! We have accepted monetary donations which are going to be used to order certified equipment from overseas, and to donate the goods to places that are experiencing near term shortages.
Please fill out this form if your hospital, clinic, lab, home, etc. needs extra protective equipment and we will do our best to help.

Your responses will be kept confidential to our team.

Our donation page is live at http://gf.me/u/xr5kxb
Email address *
Next
Never submit passwords through Google Forms.
This form was created inside of medportal. Report Abuse