Donate Equipment | Wheels to Heal

Please provide your equipment details below and we will uplift it.

Desired Uplift Date: *

If the dates above are not suitable please contact us on uplift@wheelstoheal.org.uk and we will try to accommodate you. However we can not guarantee an uplift as we are a volunteer-run charity.

About You

Name of Care Home/Organisation/Person: *

Address 1 *

E.g. 1 Acacia Avenue

Address 2

City/Town *

Region *

E.g. Berkshire

Postcode *

Contact Name: *

Contact Telephone Number: *

Contact Email Address: *

About the Equipment

Manual Wheelchairs / Quantity

Electric Wheelchairs/Scooters / Quantity

Three-Wheel Rollators / Quantity

Four-Wheel Rollators / Quantity

Zimmer Frames / Quantity

Crutches / Quantity

Walking Sticks / Quantity

Mobile/Static Commodes / Quantity

Table Trolleys / Quantity

Adjustable Stools / Quantity

Shower Chairs / Quantity

Shower Supports / Quantity

Medical Beds / Quantity

Over-the-Bed Tables / Quantity

Wipeable Mattresses / Quantity

Hoists / Quantity

Other Equipment Items / Quantity

E.g. blankets, bed supports, etc. Please enter descriptions and quantities.

Equipment Location:

E.g. reception, storage cupboard, shed, outside, etc.

Declaration *

These mobility aids do not belong to any other organisation/individual and I have authorisation to donate them to Wheels to Heal.

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