Safe Medication Disposal Request Form

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The MHARS Board is offering free Safe Medication Disposal Pouches by mail to residents of Lorain County while supplies last. The pouch “deactivates” drugs, rendering them inert and safe for disposal through regular home trash. Disposing of medication safely prevents misuse, or accidental exposure by children or pets. Contact jmastney@mharslc.org with any questions. Please take 2 minutes to fill out the form below to obtain your free medication disposal pouch.

Full Name *

Address (Street, City and State) *

Zip Code *

Contact Phone Number

Thank you for completing this form. You will hear back shortly if there are any other required details needed to send you a disposal pouch. If you need more than 1 medication disposal pouch, please contact jmastney@mharslc.org or call 440-434-5711.

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