• BREATHE Midwives Lending Library

    You can register to borrow some essential items to support your health journey for free.  Please note priority will be given to individuals who are African, Black, and Caribbean. Individuals who identify as IPOC may apply and may be considered based on availability. Supplies are based on availability.

  • Please note only up to 2 items may be borrow at any time for a duration of 1 - 2 months depeding on the item. You may renewal once if there is no waitlist/request for the item.

     

    You must register to use equipement. You can not register on behalf of other indivudals (i.e., family, friend, client) however, you may share the registration form or help them fill it out. Items usually are available 3-7 days after request for pick up once approved and instock.

  • Format: (000) 000-0000.
  • What is your highest education level?*
  • What is your household income?*
  • Have you borrowed from our lending library before?*
  • When did you last borrow something?
     - -
    2 digit month, 2 digit day, 4 digit year
  • What is your current situation?*
  • What is your due date?*
     - -
    2 digit month, 2 digit day, 4 digit year
  • When did you give birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Please find a list of current items you can borrow. Please select up to two max*

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    I understand that this form contains Personal Health Information (PHI). By submitting this form, I am consenting that I am authorized to submit your my PHI to BREATHE Midwives to use for the purpose of providing access to care, our programs, or a referral. I understand that the informaiton collected may be used to help improve the program. You also consent to submitting your information to BREATHE Midwives, in which we may need to contact you.

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