Medical Loan Closet
The Medical Loan Closet located at the Kendall Medical Office is sponsored by the Kendall Lions Club. There is no charge to borrow equipment. However, we ask that the equipment be returned as soon as possible after use. Equipment available for loan include: hospital beds, Hoyer lifts, shower chairs, tub benches, wheel chairs, walkers, crutches, canes and commodes. Interested parties are required to complete a Charitable Loan Agreement (see below)
Contact Lion John Becker at 585-659-8618, Lion Mike Cusimano at 585-659-8633, Lion Gary Crawford at 585-355-1198.
Anyone wishing to donate equipment contact Lion John Becker.
Recipients will be required to complete the following form.
Kendall Lions Club
P.O. Box 416
Kendall New York 14476
Charitable Loan Agreement
Agreement No. _________________________ 7 digit date and sequence no. for that date (010816-1)
This agreement is between: (PLEASE PRINT)
Borrower (Recipient) name: ________________________________________________
Borrower address:_________________________________________________________
Telephone: (_____)_________________
Being a person in need of assistance and the Kendall Lions Club, New York being a volunteer service organization which exists to help their community and individuals in need in their community and which Lions Club serve without financial compensation to better the lives of those living in their community.
NOW THEREFORE it is agreed as follows:
- That the Kendall Lions Club is loaning to ______________________________, recipient
the following items:
a. ______________________________________________________________________
b. ______________________________________________________________________
c. ______________________________________________________________________
d. ______________________________________________________________________
These items are being loaned to the above recipient who acknowledges that they have not been charged any fee or cost for the above referenced items.
- The above entitled recipient acknowledges that they have independently received licensed competent medical advice indicating that they need the above described item(s), and the Lions Club has in no way expressed whether or not the item(s) loaned are appropriate for the recipient. The recipient acknowledges that the Kendall Lions Club has made this loan to the recipient as a “Good Samaritan” as defined under New York State Law and that they understand that the Kendall Lions Club and its individual members are not dispensing any medical advice in deciding whether the above loaned item(s) are appropriate to be used by the recipient and the recipient further acknowledges that they and/or their licensed medical provider have independently determined that the item(s) that are being loaned to the recipient by the Kendall Lions Club are appropriate and needed by the recipient and that the recipient knows how to use the equipment.
- The recipient hereby agrees to indemnify, hold harmless and release the Kendall Lions Club from any liability arising from the use of the above item(s) that have been loaned to the recipient.
- The recipient and any successors, estates and/or assigns of the recipient agree to return the above named item(s) to the Kendall Lions Club upon the recipient no longer needing to use such item(s). The recipient further directs the recipient’s successors, estate and/or assign to promptly deliver the return of the named item(s) to the Kendall Lions Club without delay upon the recipient no longer being able to use said item(s). Call (585)659-8618 to arrange return.
This agreement is the complete understanding between the above named parties.
Recipient:
Print Name: ________________________________________________________
Signature: _________________________________________________________
Date: _____________________________________
For the Kendall Lions Club:
Print Name: _________________________________________________________
Signature: __________________________________________________________
Date: _____________________________________
Property of Lions Medical Loan Closet
P.O. Box 416
Kendall NY 14476
Call (585)659-8618 to arrange return.
Kendall Lions 9/2022
