Thank you for your support and care for Erie's healthcare workers and onsite staff. We welcome your generous donation of personal protective equipment and other supplies. 

SUPPLIES NEEDED:
   * N95 respirators
   * Surgical / Procedure Masks
   * Face shields
   * Isolation or surgical gowns (non-sterile, disposable or reusable)
   * Hand sanitizers
   * Cavi-wipes
   * Gloves


GUIDELINES:
- All donated items must be in their original packaging, unexpired, undamaged, and unused. 
- At this time we are unable to accept handmade masks. 

TO DONATE please complete this form and someone will be in touch with you within 24 hours with drop-off instructions. 

For questions or additional information, please email cjunia@eriefamilyhealth.org. 
DONATION FORM

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* 1. First and Last Name

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* 2. Email Address

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* 3. Phone Number

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* 4. Please provide a brief description of the item/s that you plan to donate

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* 5. Would you like your donation to go to a specific Erie site?

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* 6. What is the best way to reach you?

THANK YOU SO MUCH FOR YOUR GENEROSITY!

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