Request Medical Equipment

If you or someone you know works for a healthcare institution and is in need, complete this form to submit a request.

By filling out this form, you agree to allow Hire Ground to disclose the information you provide to Hire Ground, consistent with COVID-19 Suppliers’ mission to connect personal protective equipment (PPE) suppliers to those who need it most–the healthcare providers at the frontline.

  • We need the name and contact information of an individual who is authorized to make purchases for your organization.
  • Most suppliers are requiring deposits and or prepayment terms and conditions before delivery.
  • What is the maximum price you are willing to pay for NIOSH-compliant N95 masks? If none, please say None.
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