Resources Available for COVID-19 Response

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Mesa County Public Health wants to know what you and/or your organization have that could assist in the community's response to COVID-19. These resources could be ones needed by Mesa County Public Health, our partners and our community in general. Please answer the following questions if you would like to inform us of your available resources.

ON HOLD - If you have Personal Protective Equipment (Latex-free exam gloves, N95 masks, Procedural masks) or Cleaning Supplies (Bleach, Sanitizer, Disinfectant, Disinfectant wipes, Hand Sanitizer) please take those to 200 S Spruce Street starting Wednesday, March 25th from 9:30 am - 12:30 pm. This site will be open for these specific donations ONLY Monday - Friday 9:30 am - 12:30 pm.

If your resources change please resubmit this form. We will delete prior submittals. Please note if previous submittal should not be deleted.

Email *

Point of Contact First Name *

Point of Contact Last Name *

Organization (if applicable)

Phone Number *

Have you previously submitted this form? *

Yes, please keep previous responses, this is an additional resource

Yes, please delete previous responses, our resources have changed

Do you have volunteers available? (Check all that apply)

Medical

Non-medical

Do you have facilities available? (Check all that apply)

Yes, for general use

Yes, for isolation of those watching for symptoms

Yes, for those who are ill and are quarantined

Please let us know of any other resources or services you have that our community can use during this response.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Mesa County. Report Abuse

Forms