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Joint Test Strip Distribution Program Application

Thank you for your interest in SNHD's Harm Reduction Test Strip Community of Care! Fentanyl test strips and xylazine test strips (henceforth referred to as test strips) are a simple, lifesaving tool. To receive test strips, please complete the 4 steps below:
  1. Complete and submit this application to be reviewed by the SNHD Overdose Data to Action Team. 
  2. Receive Approval from the SNHD Overdose Data to Action Team
  3. Agency staff participating in the test strip distribution complete the appropriate test strip training provided by your test strip program point of contact agency 
  4. Physically or electronically sign the test strip release and pick up your supply of test strips. 
Thank you for your commitment to keeping our community safe and healthy. If you have any questions, please contact the SNHD Linkage to Action team at L2A@snhd.org and they would be happy to help.

Please initial in the textbox below to indicate you have read and understand the background of this program.
This project has been funded by grant number NH28CE003534 from the Centers for Disease Control. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by the CDC, or the U.S. Government.