Donate Equipment Please enable JavaScript in your browser to complete this form.Please provide your equipment details below and we will uplift it.Desired Uplift Date: *Autumn - End of October / Start of NovemberIf 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 YouName of Care Home/Organisation/Person: *Address 1 *E.g. 1 Acacia AvenueAddress 2City/Town *Region *E.g. BerkshirePostcode *Contact Name: *Contact Telephone Number: *Contact Email Address: *About the EquipmentManual Wheelchairs / QuantityElectric Wheelchairs/Scooters / QuantityThree-Wheel Rollators / QuantityFour-Wheel Rollators / QuantityZimmer Frames / QuantityCrutches / QuantityWalking Sticks / Quantity Mobile/Static Commodes / QuantityTable Trolleys / QuantityAdjustable Stools / QuantityShower Chairs / QuantityShower Supports / QuantityMedical Beds / QuantityOver-the-Bed Tables / QuantityWipeable Mattresses / QuantityHoists / QuantityOther Equipment Items / QuantityE.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.MessageSubmit