Note: Questions 6, 7 & 8 ask about previous Naloxone use. We only need this information answered each time we send naloxone. This will not stop us from sending it again. We just want to know if it was used to reverse an opioid overdose. Your answers are kept completely anonymous. We only share information about how the naloxone was used.
Note: Due to delayed shipping or unforeseen circumstances, some items may not be available and/or may have to be substituted. Supply requests are accepted until grant funding is no longer available.
