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Attention Providers Affected by Hurricane Helene: If your organization is facing challenges due to Hurricane Helene and need assistance with medical, personal care, or specialized supplies, we are here to support you.  Please reach out to Carolina Complete Health as we are coordinating relief efforts for providers in the affected areas of Western North Carolina.  Click Here for More Information.

Hurricane Helene Provider Support Form

Hurricane Helene Relief Effort

Carolina Complete Health is coordinating the delivery of supplies to Western North Carolina to support provider offices and the communities they serve.

If you are interested in receiving supplies, please fill out the form below and submit. 

We will review the request and contact you within 24 hours. Thank you.

Supplies On-Hand

Our goal is to support your need for relief tems. Below, you'll find a list of items currently in stock. Please note that supplies are limited and inventory availability may change as supplies are packed and shipped.

  • Baby bottles
  • Band-aids
  • Bath Soap (Liquid & Bar)
  • Batteries
  • Blankets
  • Canned Food
  • Cleaning Supplies (Tide, Dawn, Clorox, Pine Sol)
  • Deodorant
  • Diapers (Adults)
  • Diapers (Children)
  • Exam Table Paper
  • Disposable Gloves (Nitrile/Latex)
  • Goggles
  • Hand Sanitizer
  • Hydrocortisone Cream
  • Insect Repellant
  • Insulin Syringes
  • Pedialyte/Electrolyte Solution
  • Sweatshirts
  • Sweatpants
  • OTC Medication (Tylenol, Benadryl, Ibuprofen, etc.)
  • Ointment (Triple Antibiotic)
  • Paper Gowns
  • Sunscreen
  • Surgical Masks (PPE)
  • Toliet Paper
  • Toothbrushes
  • Trash bags
  • Wipes (Adult)
  • Wipes (Baby)
  • Wound Cleaner
  • Wound Dressing
  • 5 Gallon Buckets
  • Hoses

Provider/Practice Information

What days and times are you open?
Do you have staff on-site to accept a delivery? required *
Do you have currently have road access? required *
Do you have a place in your facility to store supplies? required *