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SNHD Naloxone Request Form

Order Form

If you have any questions about this process, please email OD@SNHD.org.  

We’d like to thank you for your partnership in being responsible stewards of our community's naloxone supplies. 

1. What type of agency/organization are you representing?
 
*This question is required.

This naloxone request form is specifically for agencies and organizations. Please click the link below to find no-cost naloxone resources in Clark County: https://www.healthysouthernnevada.org/stories/index/view?id=332174650792002765&pid=112274444975

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