Overdose Response Program St. Mary's County

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Overdose Response Program St. Mary's County - Naloxone Refill

The Overdose Response Program (ORP) aids in the opioid pandemic by allowing individuals in the community
to obtain and administer naloxone to someone experiencing, or believed to be experiencing an
opioid overdose to help prevent a fatality when medical services are not immediately available. Please Complete this form if you are in need of a refill of Naloxone.

Please contact the Harm Reduction Program at 301-862-1680 if you have any questions about
ORP or this application.

Name (First and Last)

Phone Number

Email Address *

How would you like to receive your naloxone refill?

Walk in (no appointment needed) at Health Hub in Lexington Park

Walk in (no appointment needed) at Health Department Main Office in Leonardtown

Mobile Delivery (Address and phone # REQUIRED)

Home Address for Mobile Delivery

Submit

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