Corona/COVID-19 Aid 757

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We are a group of autonomous individuals attempting to alleviate stress and slow/stop the spread of Coronavirus/COVID-19 in our community. We are all volunteers.

If you have questions or would like to volunteer, please email us at CoronaAid757@gmail.com

Please join our Facebook group, if you haven't already: https://www.facebook.com/groups/510830746536540

We supply care packages to those who need them at no cost, as well as special item requests for medical necessity. If you have the means, you can support our efforts at coronaaid757.com/donate.

Para español, contáctenos en (757) 598-1480

Name *

Phone number *

Can we send text messages to the number above? *

Yes, text is fine

No, I need a phone call

I don't have regular access to a phone (please include other contact info at bottom of form if possible)

Delivery address (Number, Street, Unit#) *

City *

Zip *

Are you in need of a care package delivery?

Items may vary, but we generally try to include a bag of fresh produce, nonperishable foods, bread/crackers, soap, surface cleaner, granola bars, rice, beans, vitamin C, toilet paper, and paper towels, depending on our donation supply.

Yes, I am in need of a care package delivery

No, I am not

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If you marked yes above, please indicate if your care package requires any of the following additional needs

Baby items - Diapers, wipes, formula, baby food, etc. (specify below)

Over the counter cold/flu medications (specify below)

Gluten Free (by medical necessity)

Low or No sugar

Low Sodium

Vegan

Family of 4 or more

Feminine Hygiene (specify below)

Other:

Please include any specifics we need to make your package (ie. allergies, restrictions, types of medicines, pads vs tampons, diaper sizes, children's ages/genders etc.)

Which cooking facilities do you have access to?

Full stove and oven

Single burner/hot plate

Rice Cooker or Instant Pot

Microwave

Refrigerator

I do not have access to cooking facilities

Are you able to pay for the supplies you need? *

Yes

No, or partially

What is the best way for you to reimburse your runner? (If applicable)

CashApp

Paypal

Cash (in ziploc bag for sanitary reasons, left in mailbox)

Are you in need of other services? If it is not listed below, there is an option for additional needs at the end. *

I think I may have the Coronavirus/COVID-19 and I need guidance on resources

I need help ordering groceries from a store online

I need access to self-care tips and tricks during quarantine

I need someone to talk to daily

I need access to therapy (via phone or video conference)

Addiction resources, including Naloxone or Narcan

Other:

Required

Is there any other information you would like for us to know? (delivery info, disabilities, current situation, etc.)

If you are having trouble with our online form, call us at: (757) 598-1480

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