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Naloxone Ordering Form

  1. Naloxone is available for free to Lake County community members. 

    Naloxone can be picked up from one of our locations, Monday through Friday, between 9 a.m. to 5 p.m. If picking up a kit, head over to the location you selected in the request form and speak with reception. Each kit includes 2 boxes (4 doses) of Naloxone.

     For more information or for questions, email [email protected].

    The information you submit in this form is confidential and will not be shared with anyone outside of the program. 

  2. Contact Info
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  6. Pick-Up Location
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