Need Equipment?

If you or someone you know has a need for home medical equipment or assistive technology devices that may be available through the Changing Hands program, please Browse our list of AT equipment currently available. If you find what you need or would like us to notify you if a certain piece of AT equipment becomes available, complete the online request form below. Or, simply print the form, complete it, and fax or mail it to us:

*Name:
*Street Address:
*City: *State: *Zip:
*E-mail: (One email address please)
*Phone:
How did you hear about us:
Type(s) of AT equipment needed:

* The menu on the right shows AT equipment currently available from Changing Hands

** The number shown next to each item's name corresponds to the number on the Inventory List
1)
2)
3)
If you can't find the AT equipment you need in the menu above, tell us what you need and we can notify you if it becomes available:
1) 2)
Describe your AT-related need:
Services Being Considered Are For:

Completed form may be mailed or faxed to:

Jackie Wardle, MS, ATP
Changing Hands @ UCP Central PA
925 Linda Lane
Camp Hill, PA 17011
Phone: 717-737-3477 * Fax: 717-737-9017