Partner Organization Supply Requests

If you are one of our preexisting partner organizations with our agency password, please fill out the below form to submit a medical supply request for your client/nonprofit.

• Only two orders per month can be placed for the same client/individual - multiple orders from the same organization but for different clients are accepted. 
• List all needed items on the form, and we will do our best to fill your order. We cannot add items to the order at the time of pick-up. 
• Please wait for a call stating your order is ready before calling us to ask or arriving at our distribution center.
• Please do not submit duplicate order forms for the purpose of rushing it to get completed. PSMA fills supply requests in the order we receive them.
• We ask that clients/partner nonprofits picking up their supplies do not enter our distribution center and "hand-select" items they would like. Much of our inventory is already sectioned out for other orders, has yet to be cleaned/repaired, or is not yet categorized. 
• We are very fortunate to be able to re-donate electric wheelchairs to the community - however, please understand we are limited in quantity and with such valuable equipment, we require those in need of such to complete a verified form upon pick-up to ensure they will be used properly!

 Order Request Form 

PMHDC Southwest Medical Aid only accepts orders from our current nonprofit partners, not directly from individuals. If you are in need of medical supplies/equipment, we can connect you to one of our partners that process all supply requests. 

Contact the following as they relate to you and notify them of your medical needs from PSMA. They will place the order for you!

• Are you a veteran? 

 Call Disabled American Veterans: (520) 791-9067  

• Are you a current patient of El Rio Health?

Call El Rio: (520) 309-4556                                        

• Are you involved in any missionaries, parishes, or churches in Tucson? 

Call Gospel Rescue Mission: (520) 740-1501         

• None of the above? Please call PSMA so we can direct you to the right referral agency!