Personal Protective Equipment

for organizations supporting health & wellness in King County, WA

PPE Request Form

Please submit the following form to request a supply of personal protective equipment (PPE) for your organization and/or the people you serve. Orders are free of charge, courtesy of the partnership between HealthierHere and the WA State Health Care Authority (HCA). 

Click here to preview the list of items that you may request.

Health and social service organizations that serve King County, WA residents may request PPE using this form. HealthierHere partners are encouraged to submit requests; however, your organization does not need to be a current partner to use this form and receive PPE. You must be able to arrange pick-up of all ordered PPE (see Pick Up below for more info).  

We encourage organizations to request 1-2 months' worth of supplies per order. We anticipate submitting orders each Thursday. Orders not received by 8am Thursday will be included in the following week's order unless you contact us to make other arrangements.

All orders will require in-person pick-up from the Ballard neighborhood in northwest Seattle, WA. We will contact you to arrange pick up details. All people present at the time of pick up must wear face coverings and take appropriate precautions to prevent the spread of COVID-19. 

We are unable to offer delivery at this time. 
My Contact Info

Note: Does not need to match the person who will pick up the order (we will contact you to arrange pick up details).  
My Organization

We are only able to supply health and social service organizations serving King County. For assistance in other WA counties, please contact your local Accountable Community of Health:

This data will be used to track orders and distribution, and to help assess needs.

  • Please order each item in "eaches." i.e., Do not request boxes, cases, etc. as these vary by manufacturer
  • Please indicate if substitutions may be made if an item is out of stock.
You may also click here to preview the list of items that you may request..

IMPORTANT: Please enter the number of INDIVIDUAL GLOVES requested (e.g., if you request 100 gloves, you will receive 50 pairs)






Please review your request and click the Submit button below.

By clicking Submit, I verify that I have read, understood and agreed to the following

HealthierHere is facilitating this distribution/donation as a public service. HealthierHere does not provide medical advice; nor can HealthierHere guarantee these items. HealthierHere has not and will not accept any payment by sharing this information or providing this donation opportunity. This form is for informational purposes only and does not guarantee fulfillment.

You will receive a copy of your request at the email address entered above. HealthierHere staff will contact you to arrange pick up and if there are any questions about your request.

Questions about ordering PPE via HealthierHere? Please Email Us

Need technical assistance using this page/form? Contact Melissa by email or 206.486.9339. 


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