Barry County Naloxone Training

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Thank you for your interest in being trained in how to respond to an overdose with naloxone. Please follow the prompts below and complete all questions before submitting this form.

First Name *

Last Name *

Email *

Phone Number *

Please watch the video below to learn about the steps of how to use naloxone to respond to an opioid overdose. Once the video begins playing, you may need to press the "YouTube" button in the lower righthand corner of the video in order to view the video in full screen.

Please watch the video below to view a demonstration of how to perform rescue breathing. Once the video begins playing, you may need to press the "YouTube" button in the lower righthand corner of the video in order to view the video in full screen.

Street Address (if this kit is being stored at a business, other place of work, or organization, please use that address in this section. If it is not, please use your personal residence). *

City *

Zip Code *

Following submission of this form, someone will be in contact with you regarding your naloxone kit. How would you like to receive this correspondence? *

Phone

Text message

Do you have a naloxone kit that is expired that you would like to exchange? *

Yes

Thank you! Someone will be in touch with you within 3 business days. Should you have any questions or concerns, please contact Liz Lenz at llenz@bccmha.org or 269-948-8041, x209.

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