PPE Request

PPE Connect

What is PPEconnect?
PPEconnect.org is a way for people who have any extra PPE (even a single mask) to donate it directly to healthcare professionals who need it urgently. It’s like GoFundMe, Watsi, or Kickstarter, but instead of donating money, people can donate a mask, a few pairs of gloves or whatever spare PPE they have. It’s totally free, we pay for shipping and schedule a UPS pickup from your front door.

How does PPEconnect work?
Step 1: Healthcare professionals in need of PPE upload their requests using this form and we verify their identity.

Step 2: Donors who have any extra PPE can browse these requests and make a PPE donation. Even donating a single mask is great!

Step 3: We send the donor a pre-paid shipping label and schedule a UPS pickup. Just put the PPE in any package, apply the label, and leave it outside. UPS will pick it up and deliver it directly to the healthcare professional, who will be notified it's on the way.

PPE Request Form
If you're a healthcare professional in need of PPE personally and if you would accept PPE donations directly from the public, please fill out this form to be added to the site. See examples here . We've already sourced several donors who have PPE to send this week. Note: the intent of this site is not to facilitate the donation of large supplies of PPE. Those should go directly to the healthcare facilities. PPEconnect is about connecting healthcare professionals directly with people who have small amounts of PPE (even just a single mask) and are willing to help.
Full Name*

First NameLast Name
Tell potential donors a bit about yourself *
Help people who are considering donating supplies get to know you a bit. Where do you work and what's your job there? What does that mean you are doing day-to-day? Please add any info about who you are outside of work too (e.g. personal/family info).
Why do you need PPE?*
Please explain in a few sentences why you need PPE and your current PPE status (e.g. do you have any supplies? What are the current limitations or re-use issues?)
What PPE do you need specifically? *
Please be as specific as possible as to what you are looking for and if there are any restrictions on what you can cannot accept. For example: Can you accept a 3M reusable respirator with filters instead of a disposable N95? In what condition (e.g. brand new in packaging, homemade, etc). What about googles, hand sanitizer, etc.
Any other info or message to add to potential donors?
Upload a photo*

Browse Files
Photo will appear alongside your request on the website. According to sites like GoFundMe the photo you upload is one of the most important parts of a request for donation. We may also display these photos on the preview images when people share the site on social media. Cancelof

Note: your shipping address and contact info will be printed on the pre-paid shipping label we to the donor who is sending you PPE. We do not divulge your shipping or contact information on the website.
Your Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Any other shipping info?
E.g. no Saturday delivery
Best contact phone number*

Area CodePhone Number
Your email - we'll notify you when PPE is on the way!*
example@example.com
Optional: Add your social media accounts so we can tag you to increase donations
(Optional) Twitter Handle
Add your twitter account so we can tweet @you to increase your donations
(Optional) Instagram Handle
Add your Instagram so we can tag you to increase your donations
Should be Empty:

PPE Connect

PPE Request Form