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Partners & Providers

Information

• Community Based Naloxone Program Distribution Site Manual
• (Medical First Response Agencies)

Forms

• (electronic survey)
• Naloxone Kit Usage Form (printable form ¨C sites will need to input data into electronic survey)

Community Based Naloxone Kit Distribution Tracking Tools

• Daily Tracking Tool
• Weekly Tracking Tool
• Monthly Tracking Tool

Naloxone & Other Drug Information

Notices

• Etizolam: Public Notice
• Etizolam: Information for Health Care Providers
• Injectable Naloxone Information
• Injectable Naloxone Storage Recommendations
• Naloxone Expiry Notice
• Information on the Naloxone Kit Instruction Insert

Opioids & Other Drugs

• Poison & Drug Information Service Fentanyl FAQ
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Training Resources

Training for Providers

• Community Based Naloxone Program Opioid Poisoning Response Curriculum Guide for Trainers
• Community Based Naloxone Training for Kit Distribution (learning module)

Training Tools

• Community Based Naloxone Training Checklist
• Community Based Naloxone Training Certificate
• Community Based Naloxone Training Certificate Cards
• How to Respond to An Opioid Poisoning With Naloxone (Naloxone Kit Instruction Insert)
• Mature Minor Assessment for Naloxone Kit Distribution
• Opioid Poisoning Prevention & Response (CBN Training Handout)

FAQs, Videos & Printables

Frequently Asked Questions (FAQs)

• For Distribution Sites
• For Pharmacy Staff
• General

Videos

Printables

• Get Naloxone Here
• Naloxone Kit Usage Survey Poster
• Opioid Poisoning Signs and Symptoms
• Opioid Poisoning Prevention
• Using Alone
• You Could Save a Life