Need Help?

Clinics Can Help maintains a Lending Closet that houses a wide array of durable medical equipment and supplies that is ready to be loaned out.

Inventory we often have in stock includes:

  • Wheelchairs (adult, child, electric, specialty chairs)
  • Adaptive Strollers
  • Walkers
  • Canes and Crutches
  • Hospital Beds
  • Shower Chairs
  • Nebulizers
  • Patient Lifts and Lift Chairs
  • Wound Care and General Healthcare Supplies
  • Incontinent Supplies
  • Braces of All Kinds
  • Toilet Seat Risers
  • Gel Mattresses

We may also have other items, so please contact us with your specific needs.

Please complete the form below and we will contact you promptly to confirm your request. If you would prefer to print out a form, please CLICK HERE for a downloadable/printable form.

Your information (person assisting the equipment recipient)

Please provide the following information so that we may contact you if we have any follow up questions

Your Information

Please provide the following information about yourself so that we may better assist you.

Recipient's Information

Please provide the following information about the person in need of medical equipment.

Equipment Requested

Please let us know what types of equipment and/or supplies you need.

* Note: Hospital bed refers to a frame, mattress and side rails. Patient lifts may be manual or electric, availability depends on inventory.

* Note: Walker refers to: Rolling Walker, Rolling Seated Walker or Hemi-Walker.

Signature Disclaimer

I acknowledge that the above-identified equipment will be inspected by me, or the person responsible noted above and at the time I receive the equipment to ensure cleanliness and that it is in good operating condition. I agree that I will return the equipment in the same condition when my (or my child's) present physical need no longer exists. I will not permit this equipment to be transferred to another person under any circumstances, and while this equipment is in my possession, I will notify you of any change of address for me. I will not take this equipment out of the area served by Clinics Can Help. I hereby release and hold harmless Clinics Can Help, its members, agents, or employees from any claim by me, or any person acting for me or on my behalf for any loss, expense, or damage, including but not limited to general, specific, incidental, or consequential damages, of any kind or nature whatsoever arising from this equipment or its use. I agree that Clinics Can Help, its members, agents, volunteers or employees have made no representation of any kind whatsoever expressed or implied, to me with regard to the condition of the equipment provided or as to the use to which the equipment is to be put. I also give Clinics Can Help permission to take my photo and to use it in any and all promotional venues.