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Application to Donate to the KrabbeConnect Equipment Exchange

This program will facilitate the exchange of durable medical equipment and unused supplies such as standers, specialty walkers, feeding pumps, positioning devices, formula, diapers, oximeter, etc.  If you have items available to donate, please follow these steps before completing the Equipment Exchange Program Form:

  1. Send an email to info@krabbeconnect.org to inform us of the items up for donation.
  2. Within 2-3 business days of your email to info@krabbeconnect.org, someone from KrabbeConnect will reach out by email to set up a call. During this call, we will gather information on the size and type of items being donated.
  3. KrabbeConnect will conduct outreach on the items donated. Once an individual(s) in need of the item(s) donated is identified, KrabbeConnect will reach out to their shipping vendor to obtain an estimate.
  4. Once the estimate has been received and approved by the Patient Assistance Program Committee, KrabbeConnect will facilitate the exchange of the equipment (from the individual donating the equipment to the individual receiving the equipment) and pay for the shipping costs.
  5. If KrabbeConnect is unable to identify an immediate need for the equipment and/or supplies by another individual impacted by Krabbe disease, the equipment/supplies will remain in the custody of the owner. KrabbeConnect does not have a warehouse to maintain an inventory of donated equipment.
  6. IMPORTANT: If you plan to claim your donated equipment for tax purposes, please be sure to locate a company in your area that can provide you with a certified estimate on its value. KrabbeConnect cannot provide this type of service.  The completed equipment exchange form should be attached to the value statement when you file your taxes.

Application to Donate

Please Note: These programs are for patients and their families who reside in the United States.  KrabbeConnect’s ability to help outside of the US is limited.  However, we will review and consider all requests.

  • The Equipment/Supply Exchange Program connects Individuals Donating Products to Individuals Receiving Products.
  • Equipment availability is based solely on donations.
  • Equipment varies based upon what has been donated and what has been shipped, so check back often!
  • Supplies are not distributed from a central warehouse; they are shipped from Individual to Individual.
  • KrabbeConnect reserves the right to decline an application due to shipping costs or lack of funding for this program.

Equipment / Supplies Exchange Program

  • The Equipment/Supply Exchange Program connects Individuals Donating Products to Individuals Receiving Products.
  • Equipment availability is based solely on donations.
  • Equipment varies based upon what has been donated and what has been shipped, so check back often!
  • Supplies are not distributed from a central warehouse; they are shipped from Individual to Individual.
  • KrabbeConnect reserves the right to decline an application due to shipping costs or lack of funding for this program.

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Equipment/Supplies Exchange Program

  • The Equipment/Supply Exchange Program connects Individuals Donating Products to Individuals Receiving Products.
  • Equipment availability is based solely on donations.
  • Equipment varies based upon what has been donated and what has been shipped, so check back often!
  • Supplies are not distributed from a central warehouse; they are shipped from Individual to Individual.
  • KrabbeConnect reserves the right to decline an application due to shipping costs or lack of funding for this program.

Caregiver/Guardian (Donor) Information

Caregiver/Guardian (Person Donating Items) Name*
Address*
Drop files here or
Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.
    Pictures of equipment are highly recommened
    By signing this form, I certify that:
    • The equipment is in good working condition
    • If available, I will include any pamphlets or available marketing on the equipment
    • I understand that the Equipment Exchange program is a charitable program. I authorize the release of the equipment to the receiver and understand that I will not receive any monetary funds for my donation
    • I will not hold KrabbeConnect accountable for any mailing issues (equipment did not arrive on time, equipment lost, damaged, or otherwise undeliverable). Please know, KrabbeConnect will make every effort to resolve the issue with the vendor utilized to mail the equipment
    Formal Disclaimer: I do not hold KrabbeConnect or any of its subsidiaries responsible for any mishappenings that could or might occur as a result of trying to facilitate the shipment of the equipment to a family and/or patient in need. KrabbeConnect operates this program to exclusively assist patients and/or caregivers in donating no longer needed medical equipment to a family in need of medical equipment. The donor and the receiver of the equipment acknowledge this upon the signing of this document.
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    Contact Us

    KrabbeConnect
    P.O. Box 264
    Rosemount, MN 55068-0264

    (800) 800-5509 toll-free
    Info@KrabbeConnect.org

    OUR VISION

    A day in which each patient receives an early diagnosis, has access to state-of-the-art care, and lives a life free of Krabbe disease.

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