* If you are associated with the
Medical Center, please do not use this form. Medical Center departments should email
smhcovidsupply@urmc.rochester.edu for supplies. *
This form is intended for River Campus, Memorial Art Gallery, Eastman School of Music
departments and sites that are not associated with URMC. A department
administrator or designee should be completing this form for the
department's needs. Please fill out all fields and submit. You will receive
an email acknowledgement that your request was received.