Report an Overdose

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Report an Overdose

Please complete below to report an overdose. We use this data to ensure we continue receiving Narcan to save lives. Thank you.

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When was the overdose? *

MM

/

DD

/

YYYY

How many doses of Narcan where used?

1

2

3

4

5

More than 5

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Did the person survive?

Yes

No

Unknown

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Where was the Overdose? (City)

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