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: *WINTER - End of Dec 2020 / Beginning of Jan 2021SPRING - End of Mar 2021 / Beginning of Apr 2021SUMMER - End of Jun 2021 / Beginning of Jul 2021AUTUMN - End of Sep 2021 / Beginning of Oct 2021If 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-driven charity.About YouName of Care Home/Organisation/Person: *Address: *Address Line 1Address Line 2CityState / Province / RegionPostal CodeContact Name: *Contact Telephone Number: *Contact Email Address: *About the EquipmentNumber of Manual Wheelchairs:Number of Electric Wheelchairs/Scooters:Number of Three-Wheel Rollators:Number of Four-Wheel Rollators:Number of Zimmer Frames:Number of Crutches:Number of Walking Sticks:Number of Mobile/Static Commodes:Number of Table Trolleys:Number of Adjustable Stools:Number of Shower Chairs:Number of Shower Supports:Number of Medical Beds:Number of Over-the-Bed Tables:Number of Wipeable Mattresses:Number of Hoists:Number of Other Equipment Items: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.WebsiteSubmit