CPO's Health Products Request Form
Thank you for your interest in distributing free health products to the Stony Brook campus community.

You will be contacted as soon as your order is ready to be picked up. We will do our best to accommodate pick up dates but for large orders please complete this form at least one week prior to your desired pick up date.

All of our products will be put in discreet packaging to maintain student privacy!

Please read through the information below before placing your order. We limit orders of health products to ensure an equitable distribution to all of the students on campus. If you need individual health products immediately you can visit the health products cart outside the CPO office in Union 108.

If you have any questions or your event or plan requires additional health products please reach out to Samantha Warren at samantha.warren@stonybrook.edu.

Safer Sex Kits:
We provide safer sex kits in individual or bulk packs. Individual safer sex kits come with 6 condoms and 1 lubricant per kit. An individual can request up to 5 individual safer sex kits per order.

Bulk Safer Sex packs have 30 condoms per bag. Bulk packs include an assortment of external condoms, internal condoms, flavored condoms, dental dams and lubricant. Bulk packs will also include informational resources including STI/HIV testing dates, condom instructions, and on and off campus resources.
Bulk condom kits are only to be used for distribution among Stony Brook college students and a coordinated plan for distribution is required. We are happy to work with student leaders to provide more if needed.
If you are hosting a Safer Sex Themed event please let us know as we may be able to provide a Peer Educator to attend your event to facilitate distributing safer sex products as well as information and resources.

Menstrual Hygiene Products:
We can provide menstrual hygiene products in individual packets or bulk. Individual packets have 2 pads and 2 tampons. Bulk packets have 10 pads and 10 tampons per bag. An individual can request up to 5 individual packs or 1 bulk pack.
Student leaders including RAs, RHDs, faculty, and staff can request up to 3 bulk packs of menstrual hygiene products. These are only to be used for distribution among Stony Brook college students and a coordinated plan for distribution is required.

Cold and Flu Kits:
Individual Cold and Flu Kits contain tissues, sanitizing wipes, tea, honey, and other cold and flu prevention items. An individual can request up to 3 cold and flu kits.  

First Aid Kits:
Individual First Aid Kits contain bandaids, antibiotic ointment, alcohol pads, and vinyl gloves among other first aid items. An individual can request up to 3 First Aid Kits

*NEW* Deterra Bags:
Drug deactivation and disposal bags. Use these bags to safely dispose of pharmaceuticals including pills, liquids and patches. Each bag can safely deactivate up to 15 pills. An individual can request up to 3 bags. 

*NEW*  Fentanyl Testing Kits: 
Fentanyl testing kits are used to test for the presence of fentanyl in different kinds of drugs including but not limited to cocaine, heroin and methamphetamines. Kits work on pills, powders and injectables. Testing allows users to make a more informed choice about consuming drugs and take steps to avoid overdose.   
An individual can request 1 kit. 

*NEW* Emergency Contraception Kits 
CPO provides free generic Emergency Contraception kits for Stony Brook Students. EC is most effective if taken within 72 hours after unprotected sex. You are welcome to place an order and have EC on hand before you need it. We cannot guarantee you will receive your order within 72 hours.  If you need a kit immediately please come to the CPO office Monday- Friday 9am-4pm, the Student Health Services Pharmacy or contact PPGA at ppgastonybrook@gmail.com. 

*Narcan is available through the New York State NCAP Program or by attending a CPO Narcan Training. Sign up for a training here


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Individual Health Products Requests
How many individual Safer Sex Kits are you requesting? (No more than 5 per request)
We provide 3 types of Safer Sex kits. Please let us know which you would prefer. We will do our best to accommodate your request.
How many individual menstrual hygiene kits are you requesting? (No more than 5 per request)
Please let us know if you would prefer only tampons or only pads in your kits
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How many Cold and Flu Kits are you requesting? (No more than 3 per request)
How many DIY First Aid Kits are you requesting? (No more than 3 per request)
Emergency Contraception Kits: EC works best within 72 hours of unprotected sex. We cannot guarantee your order will be ready for pick up in 72 hours.  If you need Emergency Contraception immediately please come to the CPO office Monday- Friday 9am-4pm, the Student Health Services Pharmacy or contact PPGA at ppgastonybrook@gmail.com. 
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How many Deterra bags are you requesting? 
Drug deactivation and disposal bags. Use these bags to safely dispose of pharmaceuticals including pills, liquids and patches. Each bag can safely deactivate up to 15 pills. An individual can request up to 3 bags.
Fentanyl Testing Kits- You can request 1 Fentanyl Testing Kit. If you have any questions or concerns about using the kit or the instructions please reach out to Kerri.Mahoney@stonybrook.edu. 
Fentanyl testing kits are used to test for the presence of fentanyl or similar synthetic opioids in pills or powders. Testing allows users to make a more informed choice about consuming drugs.  
An Individual can request 1 kit. 
Bulk Health Product Requests
If you are requesting bulk kits, please provide a short description of how you will be distributing these products on campus.  If will be hosting an event provide the date and event details, if you are distributing or leaving out for students to take please provide the location and estimated number of students served.
How many bulk safer sex kits are you requesting?
How many bulk menstrual hygiene packs are you requesting?
Please let us know if you would prefer only tampons or only pads in your kits
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Thank you for requesting free health products from CPO. Please allow up to 3 days for a response to your request.
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