For Clinics/Businesses: All requests for masks must be made by an authorized owner/manager of clinic or business. Clinics/Businesses should scroll down to make mask requests.
Due to demand, it may take up to 48 hours to respond to your request. If you did not receive an email confirmation from our google form, your request was not received. Please resubmit.
We are a 100% volunteer effort. We appreciate your patience regarding our response time.
For Individuals: We are pleased to announce we have partnered with HRDC to assist in supplying masks for individuals in need. Please request individual support through The HRDC.
If you can't see the form below on your mobile device, please click directly through to the request form here.