RESOURCE REQUEST PROCESS and FORMS
PLEASE READ THIS ENTIRE SECTION BEFORE FILLING OUT THE FORM. IT WILL MAKE THE RESOURCE REQUEST PROCESS EASIER AND MORE UNDERSTANDABLE FOR YOU, AND ALLOW US TO PROCESS YOUR REQUEST WITH GREATER EFFICIENCY.
PLEASE NOTE: The MA Department of Public Health's Resource Request Unit assists with the provision of short-term (7 day) supplies of personal protective equipment (PPE) for use in emergency procedures to healthcare facilities/providers that provide direct clinical care to patients . PPE from the state stockpile is not meant to supplant normal supply chains - requestors are asked to include documentation of their inability to acquire the needed PPE due to backorder, allocation, etc., along with the request form.
MA DPH will also assist providers that offer COVID-19 testing with testing supplies. Forms for requesting both PPE and testing materials can be found in the link buttons below.
BEFORE FILLING OUT THE REQUEST FORMS (links below):
You will need to provide information specific to EACH requested resource. Please gather the following information before filling out the form. Incomplete forms will require further follow up from us, and will delay the processing of your request.
Please note that there is a distinct form to use when requesting testing supplies.
- First download the form before filling it out fully.
- Save the filled out form to your computer/device.
- Email the form to firstname.lastname@example.org.
- IF YOU ANTICIPATE YOUR NEEDED RESOURCE BEING DEPLETED WITHIN 24 HOURS, PAGE THE DUTY OFFICER AT 413-773-1502 TO ALERT THEM TO YOUR INCOMING FORM SO IT CAN RECEIVE PRIORITY ATTENTION.
Once the HMCC duty officer has received your request and determined that you have exhausted or will exhaust local resources and your normal supply chain process, they will escalate your request to the attention of the MA DPH COVID-19 Resource Unit.