609.751.9699

DME Lending Locker Interest Form

Thank you for your interest in utilizing CMAP's Durable Medical Equipment Lending Locker. Whether you're hoping to borrow from or donate to our lending locker, please fill out this form to let us know what you're looking for. One of our social workers will get in touch with you soon to sort out the details and schedule an appointment.

As a reminder, we do NOT store the following items:

  • Used commodes 
  • Used shower chairs
  • Beds
  • Any items larger than a wheelchair

  • Fields marked with an asterisk (*) are required.