Donate Mobility Aids/Medical Equipment
Thank you for offering to donate equipment to MALL. Please complete this form so we can direct your donations to the right location.
Name
*
First Name
Last Name
Email
example@example.com
Phone Number
*
Enter your phone number
Format: (000) 000-0000.
What type(s) of equipment are you donating? Check all that apply.
*
Adult diapers or bed pads (unopened packages only)
Bed rails
Cane
Commode
Crutches -- Forearm (we do not accept underarm crutches)
Electric wheelchair or mobility scooter
Grab bar, bathtub bar, etc.
Knee scooter
Leg or arm braces
Oxygen or CPAP supplies (unopened packages only)
Patient hoist or lift
Pediatric/children's wheelchair or stroller
Pediatric stander or gait trainer
Rollator (walker with wheels and seat)
Shower Chair
Transfer board
Toilet seat riser or rails
Walker
Wheelchair or transport wheelchair
I'm donating lots of stuff at once (garage clean out, loved one's passing, etc)
Other
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Donation Information
All items must be clean and in usable condition. Commodes MUST be clean with no odor.
Item Condition
New and unused
Excellent
Good
Fair
Please tell us more about the device's condition and any repairs that may be needed.
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Powered Device Donation Information
Please tell us more about the device(s) you are donating.
Powered Device Type
*
Portable mobility scooter -- folds or comes apart
Portable electric wheelchair -- folds or comes apart
Standard mobility scooter
Basic electric wheelchair
Electric wheelchair with seating functions such as tilt, recline, and/or seat elevation
Hoyer lift
Sit-to-stand lift
Other
Device Condition
*
Fully Working - no mechanical repairs needed
Needs new batteries
Minor cosmetic issues - ripped upholstery etc.
Needs other mechanical repairs
Other
Brand/Make and Model if known (Jazzy, Permobil, etc)
Please tell us more about the device's condition and any repairs that may be needed.
Can you drop off this item at our storage location in downtown Bloomington, IN?
*
Yes
No, it is too large/heavy
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Library Donation
Great news! You can donate this item to the Monroe County Public Library. Visit the downtown branch at 303 E. Kirkwood Avenue, Bloomington, IN 47408 and go to the second-floor service desk. We appreciate your support!
Library Donation
*
Yay! I'll donate this item soon
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Drop Off Donation
Mobility Aids Lending Library appreciates your donation! We'll need to meet you to drop off your item(s) at our storage location in downtown Bloomington: First Christian Church, 205 E. Kirkwood Ave. Please choose an appointment time below. If you cannot meet at any of the listed times, please text us at (317) 759-1278 with your name and the type of item you requested. If you only have a landline, you may call, but we strongly prefer texts.
Did you schedule an appointment?
*
Yes
No, the form or available times didn't work for me
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Donation Consultation or Pickup
Mobility Aids Lending Library appreciates your donation! We'll need to connect with you to learn more about your equipment and/or arrange a time to pick it up. Please text us at (317) 759-1278 with your name and the type of item you're donating. If you only have a landline, you may call, but we strongly prefer texts.
Contact Us Regarding Donation
*
Yay! I'll contact MALL soon
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Newsletter
Yes, please send me updates on available mobility aids and MALL events
Complete Form
*
Click here and then click Submit below to send your request!
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