DME Donation form | Cfigj

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Center for Independence

Empowering Individuals with Disabilities since 1982

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Durable Medical Equipment Donation Form

Today's Date

First name

Last name

Email

Phone

Address

We appreciate you donating all of your equipment, although we are only accepting limited items at this time. Please list what gently used durable medical equipment you have for donation.

What is the best way to reach you?

Phone

Email

Best time to reach you at?

Time

:HoursMinutes

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Community Partners

Grand Junction Office

Service Area: Mesa & Delta Counties

Address: 740 Gunnison Ave.

Grand Junction, CO 81501

Phone: 970-241-0315

Toll Free: 800-613-2271

FAX: 970-245-3341

Hours: 8a-5p M-Th, 8a-12p F

Closed Daily 12:00-12:30 for lunch

Glenwood Springs Office

Service Area: Eagle, Pitkin & Garfield Counties

Address: 401 27th St, Ste 115

Glenwood Springs, CO, 81601

Phone: 970-241-0315

Toll Free: 800-613-2271

FAX: 970-245-3341

Hours: By Appointment only

Closed Daily 12:00-12:30 for lunch

Montrose Office

Service Area: Montrose, Ouray
& San Miguel Counties

Address: By Appointment

Phone: 970-241-0315

Toll Free: 800-613-2271

Fax: 970-245-3341

Hours: By appointment only

Salida Office

Service Area: Chaffee, Lake,

Gunnison, & Hinsdale Counties

Address: By Appointment

Phone: 970-241-0315

Toll Free: 800-613-2271

Fax: 970-245-3341

Hours: By appointment only

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