Vending Machine Issues Form

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Thank you for using the Department of Health Public Vending Machines!

Complete this form if

- a vending machine at your specific location is low on stock

- there is a repair needed on the vending machine itself

- if you would like to attend or host an Overdose Response Training

- if you are interested in receiving educational materials or more information

- if you have any other concerns or requests not listed

If you would like to request a Naloxone training or access further materials, consult our Public Request Form.

Which location are you reporting from? *

What is the nature of the issue? *

Low stock

Machine repair

Training request

Educational materials

Other:

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