Naloxone Storage Container Request

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The School Training Overdose & Preparedness Intelligence Taskforce (STOP-IT) received a limited supply of overdose emergency kit containers to disburse to Arizona schools that receive Naloxone through the STOP-IT Program. Supplies are limited. Please fill out this application to be considered.

First and Last Name *

Email Address

Job Title

School Site or District

Shipping Address

Has your school/district received Naloxone through the STOP-IT program?

Yes

No. If no, please also fill out the STOP-IT Naloxone Request form at www.azed.gov/stopit

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Number of Naloxone storage containers requested. Please note that there are a limited number of boxes available and you may not receive all requested boxes.

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