North Sound ACH Resource Request Form

Welcome to the North Sound ACH Resource Request Form. As environmental disasters, extreme weather events, pandemics and other unforeseen community event impact our region, we are regionalizing procurement and distribution of resources on behalf of community organizations in the North Sound. This form is updated regularly as our inventory changes. There is a comment section at the end of the form to request items that may not be listed and we will do our best to identify options for your needs. 

Eligibility:

Resources must be used to serve people living in the North Sound region. All requests are welcome but we will prioritize those who are working with underserved communities, providing community-based care coordination, and supporting community resource navigators like CHWs and promotoras.

Review Process:

The ACH team reviews these requests weekly. A member of the ACH team will be in touch to let you know about next steps. 

Please contact sandra@northsoundach.org or call (888) 438-7330 with any questions. For more information about North Sound ACH, please visit: https://northsoundach.org


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North Sound ACH is participating in Washington State Department of Health's Naloxone Distribution Program and has recently acquired fentanyl test strips. The intention of this program is to get naloxone nasal kits and fentanyl strips into the hands of friends and families of people who are at risk of opioid overdose. These are not intended for organizations to have on hand, but to get out into the community.
How many Naloxone (Narcan) nasal kits do you estimate needing? (each kit contains 2 doses of nasal spray)
Does your organization need overdose reversal educational materials?
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Does your organization need technical assistance or support in overdose response education and training?
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Participation in this program requires some reporting. Who will be your organization’s contact for reporting to North Sound ACH about kit distribution?
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