Drug Checking Reagent Request

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This request form, as with all Making Drugs More Accurate materials, is entirely anonymous. The survey responses will be deleted shortly after we recieve them.

Which substance do you wish to confirm the presence of? Please note all kits will come with fentanyl strips.

MDMA

Ketamine

LSD

Cocaine

Amphetamine

Opiates

General (fentanyl strip)

Other:

Please give us an anonymous codeword (e.g. River) so we may prepare your order. Remember this codeword. *

What is your phone number? We'll contact you via text to organise collection and then delete it. *

I confirm that by submitting this request I understand and take responsibility regarding the potential dangers (as identified but not limited to the provided instruction manual) of using these reagents. *

Yes

I also confirm I will not give these reagents to any other party and that I am the sole recipient. *

Yes

I confirm that by submitting this request I am aware that these reagents have a margin of error, cannot test for purity or safety as well as active dosage in a sample. *

Yes

I understand that Making Drugs More Accurate does not promote drug use and that it recognises that all drug use carries inherent risk. *

Yes.

I take full responsibility for my own actions, having been empowered by my interpretation of my reagent results or otherwise. *

Yes

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