COVID Reopening Product Requirements

Further to the National Executives letter of the 10th of April we are all working to bring everyone back to work when the time is right and ensuring that we can provide you with the supplies to enable you to do this.

As you can appreciate PPE is in very short supply at the moment with supplies going firstly to the frontline workers. However as we go back to work we must do what we can to protect ourselves and our patients.

To give us some idea of the volume of products that we need to source for you, can you please take two minutes to fill out this questionaire and by pressing submit returning it to us.

Initially we would ask you just to put in your requirements for the first month back so we can ensure supplies for everyone. In a few months PPE will become more readily available and if we all take it on a month by month basis we will keep everyone in business.

We can then judge the quantities required and start to source them for you.

We will then contact you to let you know of the availability of the products you require and we can all go from there.

Thank you for your help with this and please stay safe.

Nicola & The SerraNova TippToes team

Full Name

First Name Last Name

E-mail

Contact Number

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Notes / other requirements

Facial Protection

Qty Required

Disposable

Lipoelastic Reusable/Washable 200gsm Cotton Black

Marena Anti Microbial Siladur Fabric

Face Shield

Disposable Gloves & Aprons - Quantity required (100 pcs/pack)

Small

Medium

Large

Latex Powdered gloves

Latex Non Powdered gloves

Vinyl gloves

Nitrile gloves

Aprons Disposable (1 Size)

Aprons Reusable/Washable (1 per pack)

Surgery Products

Quantity Required

Hand Sanitisers/ Gel

Hard Surface Cleaner Spray

Surface Wipes

Airbourne Disinfectant Spray

Couch Roll

DATA PROTECTION

I understand that this information is being submitted to SerraNova Ltd t/a TippToes for the purposes of sourcing goods for return to work after the COVID 19 lockdown. It will be destroyed by the 31st August 2020 as it will no longer be required after this.

I hereby authorise SerraNova Ltd to use this information for this purpose only.

Signature

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