Forms

The forms linked below are to request support in learning to use or access naloxone. Naloxone (also known by brand name Narcan) is a medication that should be given immediately if an opioid overdose is suspected. Naloxone:

• reverses the effects of an opioid overdose and restores breathing.
• does not have an effect and does not cause harm if given to someone who is not overdosing.
• cannot be used by the person overdosing to save themselves. By the time it’s needed, they will be unconscious.

Having community members trained to use and carry naloxone can – and does – save lives.

Request a training

Select one of the forms below. If you have trouble accessing or completing the form, please email shd-opioids@co.snohomish.wa.us.

• Organization Training Request Form
  • For organizations: Naloxone kit request form
    
    
• Individual Training Request Form

More naloxone resources

• Find naloxone near you 
• Over-the-counter naloxone FAQ 
• People’s Harm Reduction Alliance naloxone by mail 

More information about responding to an overdose and how to use naloxone is available on the Preventing Overdoses and Deaths page.