Overdose Prevention Training Request
Use this form to register for free overdose prevention training through St. Ann's Corner of Harm Reduction.
Name *
Your answer
Email *
Your answer
Phone *
Your answer
Is this training for an individual or a group? *
If this training is for an agency or organization, please include the name and address here:
Your answer
If the training is for an agency, are there media resources available to support a PowerPoint Presentation?
Are you seeking training in English or Spanish?
If the training is for a group, how many people participants will there be?
Your answer
Which day of the week is most convenient? *
What time of day is best?
Is this an initial or follow-up training?
Do you currently have Narcan/Naloxone kits available?
If yes, how many Narcan/Naloxone kits are available?
Your answer
What is the expiration on the Narcan/Naloxone kits that are available?
Your answer
Please include any additional questions or comments here:
Your answer
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