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Charles County Health Department

Charles County Department of Health

Personal Protective Equipment (PPE) Request

Fill out the form below to submit your request for Personal Protective Equipment (PPE). You can also download a printable version of this form by clicking the button below and emailing your completed form to mdh.charlescountycccaresppe@maryland.gov. 

ITEM
AVAILABLE SUPPLY
REQUESTED NO.
Hand Sanitizer (10-12 oz)
Hand Sanitizer (Gallon Refill)
Hand Sanitizer Dispenser Stand
Med Approved N95 (35/box)
N95 (5/pack)
KN95 (10/box)
Surgical Mask (50/box)
Washable Mask (Youth, Adult)
Face Shield/Goggles (10/pack)
Gloves M/L (100 per box)
Disinfectant Wipes (80/pack)
Disinfectant Spray (gallon)
Gowns/Lab Coat (10/pack)
Hair Covers (100/pack)
Shoe Covers (100/pack)
Thermometers (1/box)
Pulse Ox (1/box)
Blood Pressure Cuffs w/wo Gauge (1/pack)
Stethoscope (1/pack)
Air Freshener (12/case)
Toilet Seat Cover (250/pack)