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Provider Personal Protective Equipment (PPE) Request Form

TCRC continues to work with DDS and SCDD to obtain and distribute PPE to the TCRC provider community in support of persons served by the Regional Center. We will distribute PPE based on provider needs and a first-come first-served basis after urgent needs are met. Please keep in mind that N-95 masks, gowns, and face shields are intended for staff when directly supporting individuals who have been exposed to COVID-19, who have a positive COVID-19 test result, and/or are symptomatic and not for individuals served. In order to streamline how we respond to provider requests during these challenging times, please fill out the Provider PPE Request form here.

If you are placing a request for urgently needed PPE, please complete the Provider PPE Request form and follow up with either Quality Assurance or the Service Coordinator for the person(s) served by TCRC.

Important note: Please use TCRC as one of your sources for PPE as we may have limited supplies. TCRC cannot guarantee we will be able to fulfill your full request, but we will support all of our providers as best as we can during these challenging times.

PPE Request During COVID-19

  • Please avoid "whatever you can spare" or "any" and enter an actual number.
  • Please avoid "whatever you can spare" or "any" and enter an actual number.
  • Please avoid "whatever you can spare" or "any" and enter an actual number.
  • Please avoid "whatever you can spare" or "any" and enter an actual number.
  • Please avoid "whatever you can spare" or "any" and enter an actual number.
  • Please avoid "whatever you can spare" or "any" and enter an actual number.
  • Please avoid "whatever you can spare" or "any" and enter an actual number.