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Community Report
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Please share the date that syringes were seen in the community.
MM
/
DD
/
YYYY
What zip code were the syringes located?
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21901 North East
21902 Perry Point
21903 Perryville
21904 Bainbridge
21904 Port Deposit
21911 Rising Sun
21912 Warwick
21913 Cecilton
21914 Charlestown
21915 Chesapeake City
21916 Childs
21917 Colora
21918 Conowingo
21919 Earleville
21920 Elk Mills
21921 Elkton
21922 Elkton
21930 Georgetown
Address nearest to where the syringes were located
Your answer
Have you contacted any agency in reference to the syringes seen in the community?
Law Enforcement
Community Based Organization
Local Health Department
Waste management
Local Administration
Local Town Works Division
Voices of Hope
Other:
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Were you contacted by any of those agencies about your report?
Yes
No
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Can you provide details that could be helpful for an outreach team to locate those syringes?
Your answer
Approximately how many syringes did you see?
Your answer
What kind of area were the syringes found?
Highly populated or an area that has a lot of foot traffic
Residential
Commercial
Public
Private Property
Isolated area or an area that does not have a lot of foot traffic
Was there any other kind of debris located in the same area as the syringes?
Yes
No
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If you indicated yes to the above question what kind of debris was located in the same area as the syringes?
Your answer
Is there any other information that would be helpful in finding the location of the syringes in this report?
Your answer
Can we contact you for more information regarding this report?
Yes
No
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Name
Your answer
Phone Number
Your answer
Email
Your answer
Cecil County Health Department Harmony Program
For more information or questions please use the contact information below.
Harmony Program
410-996-5106
cchd.harmreduction@maryland.gov
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