SOR-Overdose Reporting
This information helps our community understand overdose concerns and trends.Your responses will be kept confidential. Thank you for taking the time to take the short survey that asks a few questions about your experience.
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SOR Kit Number *
Lot Number *
How many doses were used? *
Was the use of naloxone a save? *
Age of Person *
Gender *
Race
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Do you need a new supply of naloxone? *
Phone Number
If you answered yes, please provide us with your email.
Submit
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