Daystar Care PPE Request Form "*" indicates required fields X/TwitterThis field is for validation purposes and should be left unchanged.INSTRUCTIONS Daystar and Caregivers may Use this form to request a PPE kit from Best Care. There is a limit of 1 PPE kit request every 30 days per individual. (Each PPE kit contains; masks, gloves, and sanitizing wipes or sanitizer as available). Please remember in the always wear a mask, and use good hand hygene if you don't have access to gloves or sanitizer. Washing your hands with antibacterial soap is just as effectvie in preventing transmisison of covid 19. Are you a Client or Caregiver?* Daystar Care Client Daystar Care Caregiver Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number*Email* Select Glove included with kit* Small Medium Large Extra Large NOTICE: PPE is provided on an as available basis. Best Care does not gaurantee PPE provided will prevent transmission of COVID-19. Prevention of any contageous disease is dependent upon proper use of PPE and hygene practices. For more information on mask use and more Covid-19 information on our website.
