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MDM3EovQ5i4hfUxkQXT58r

COVID-19 Supply Chain

Resource Requests

Due to the current COVID-19 outbreak, the Minnesota Department of Health (MDH) is monitoring personal protective equipment (PPE) and ventilator shortages within our health care system. This form is capturing your current resource need(s). In completing this form, there is no guarantee your request will be filled. Requests will go through a needs prioritization process. Facilities are required to continue to work within their normal supply chain to obtain PPE. Health care facilities (hospitals, clinics, LTC, EMS, etc.) should continue to work with their Regional Health Care Coalition (HCC) during this response.

The state warehouse is operating Monday – Friday to process and fill PPE requests. Please anticipate your PPE needs and submit requests when you have 4-7 days of supply remaining. Submit a request for a 7-day supply of PPE. As much as possible, plan for upcoming holidays that will impact warehouse operations and shipping availability.

If you have an urgent need for PPE on a holiday or weekend, please submit a REDCap request AND contact your Regional Health Care Preparedness Coordinator (RHPC).

Facilities can access guidance and resources for infection prevention and control in health care settings on the MDH website: https://www.health.state.mn.us/diseases/coronavirus/hcp/infectioncontrol.html

Status

Notification Email

Please add in any notes related to this request (optional):

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First Name

* must provide value

Last Name

* must provide value

Title

Phone Number (must be 24-7)

* must provide value

Health Care Coalition/Tribal/State Owned Facility

* must provide value

Discipline

* must provide value

Other, please describe

Health Care Facility/Agency

* must provide value

COVID Case Manager Email

Shipping Address

* must provide value

Shipping City/Town

* must provide value

Shipping Zip

* must provide value

Available for Weekend Delivery

* must provide value

Yes

COVID-19 Supply Chain

Resource Requests

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