{"id":3415,"date":"2023-07-23T13:55:43","date_gmt":"2023-07-23T20:55:43","guid":{"rendered":"https:\/\/scod.flywheelstaging.com\/?page_id=3415"},"modified":"2026-06-24T10:53:48","modified_gmt":"2026-06-24T17:53:48","slug":"forms","status":"publish","type":"page","link":"https:\/\/snohomishoverdoseprevention.com\/km\/forms\/","title":{"rendered":"\u1791\u1798\u17d2\u179a\u1784\u17cb"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">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:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>reverses the effects of an opioid overdose and restores breathing.<\/li>\n\n\n\n<li>does not have an effect and does not cause harm if given to someone who is not overdosing.<\/li>\n\n\n\n<li>cannot be used by the person overdosing to save themselves. By the time it&#8217;s needed, they will be unconscious.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Having community members trained to use and carry naloxone can &#8211; and does &#8211; save lives.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Request a training <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Select one of the forms below. If you have trouble accessing or completing the form, please email shd-opioids@co.snohomish.wa.us. <\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li style=\"font-size:26px\"><a href=\"https:\/\/forms.office.com\/Pages\/ResponsePage.aspx?id=qlbUawe8GEKJfE0KalA-4llxxBzLu2dLoHKI1LpRWcRUNDVWMUFUNjVWMDk5SDJLRU5JMlM0S0ZVTy4u\" target=\"_blank\" rel=\"noreferrer noopener\">Organization Training Request Form<\/a>\n<ul class=\"wp-block-list\">\n<li style=\"font-size:22px\">For organizations: <a href=\"https:\/\/forms.office.com\/Pages\/ResponsePage.aspx?id=qlbUawe8GEKJfE0KalA-4llxxBzLu2dLoHKI1LpRWcRUQklVRTZZUUNGTkVMRVlUNjMyM1c5NExBRi4u\">Naloxone kit request form<\/a><br \/><br \/><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li style=\"font-size:26px\"><a href=\"https:\/\/forms.office.com\/Pages\/ResponsePage.aspx?id=qlbUawe8GEKJfE0KalA-4llxxBzLu2dLoHKI1LpRWcRUREcyU1k2NVQ5NU1XUTRLTThZRTg4VzNMNS4u\" target=\"_blank\" rel=\"noreferrer noopener\">Individual Training Request Form<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">More naloxone resources<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/stopoverdose.org\/find-naloxone-near-me-washington-state\/\" target=\"_blank\" rel=\"noreferrer noopener\">Find naloxone near you<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/stopoverdose.org\/otc-naloxone-faq\/\" target=\"_blank\" rel=\"noreferrer noopener\">Over-the-counter naloxone FAQ<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/phra.org\/naloxone\" target=\"_blank\" rel=\"noreferrer noopener\">People\u2019s Harm Reduction Alliance naloxone by mail<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/doh.wa.gov\/you-and-your-family\/drug-user-health\/overdose-education-naloxone-distribution#:~:text=How%20to%20use%20health%20coverage%20to%20get%20naloxone%20at%20a%20pharmacy%20in%C2%A0Washington%20state\">How to use health coverage to get naloxone at a pharmacy in Washington state (DOH)<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">More information about responding to an overdose and how to use naloxone is available on the <a href=\"https:\/\/snohomishoverdoseprevention.com\/preventing-deaths\/\">Preventing Overdoses and Deaths page<\/a>.<br \/><br \/><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><a data-edac-fsat-processed=\"true\" href=\"https:\/\/snohomishoverdoseprevention.com\/wp-content\/uploads\/2024\/08\/DSC_0042-1-scaled.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"685\" src=\"https:\/\/snohomishoverdoseprevention.com\/wp-content\/uploads\/2024\/08\/DSC_0042-1-1024x685.jpg\" alt=\"\" class=\"wp-image-3691\" style=\"width:456px;height:auto\" srcset=\"https:\/\/snohomishoverdoseprevention.com\/wp-content\/uploads\/2024\/08\/DSC_0042-1-1024x685.jpg 1024w, https:\/\/snohomishoverdoseprevention.com\/wp-content\/uploads\/2024\/08\/DSC_0042-1-300x201.jpg 300w, https:\/\/snohomishoverdoseprevention.com\/wp-content\/uploads\/2024\/08\/DSC_0042-1-768x514.jpg 768w, https:\/\/snohomishoverdoseprevention.com\/wp-content\/uploads\/2024\/08\/DSC_0042-1-1536x1028.jpg 1536w, https:\/\/snohomishoverdoseprevention.com\/wp-content\/uploads\/2024\/08\/DSC_0042-1-2048x1371.jpg 2048w, https:\/\/snohomishoverdoseprevention.com\/wp-content\/uploads\/2024\/08\/DSC_0042-1-18x12.jpg 18w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/> [JPG, 504.40 KB]<\/a><\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u1791\u1798\u17d2\u179a\u1784\u17cb\u178a\u17c2\u179b\u1794\u17b6\u1793\u1797\u17d2\u1787\u17b6\u1794\u17cb\u1781\u17b6\u1784\u1780\u17d2\u179a\u17c4\u1798\u1782\u17ba\u178a\u17be\u1798\u17d2\u1794\u17b8\u179f\u17d2\u1793\u17be\u179f\u17bb\u17c6\u1787\u17c6\u1793\u17bd\u1799\u1780\u17d2\u1793\u17bb\u1784\u1780\u17b6\u179a\u179a\u17c0\u1793\u1794\u17d2\u179a\u17be \u17ac\u1785\u17bc\u179b\u1794\u17d2\u179a\u17be naloxone\u17d4 Naloxone (\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u1782\u17c1\u179f\u17d2\u1782\u17b6\u179b\u17cb\u1795\u1784\u178a\u17c2\u179a\u178a\u17c4\u1799\u1788\u17d2\u1798\u17c4\u17c7\u1798\u17c9\u17b6\u1780 Narcan) \u1782\u17ba\u1787\u17b6\u1790\u17d2\u1793\u17b6\u17c6\u178a\u17c2\u179b\u1782\u17bd\u179a\u178f\u17c2\u178f\u17d2\u179a\u17bc\u179c\u1794\u17b6\u1793\u1795\u17d2\u178f\u179b\u17cb\u17b1\u17d2\u1799\u1797\u17d2\u179b\u17b6\u1798\u17d7\u1794\u17d2\u179a\u179f\u17b7\u1793\u1794\u17be\u1798\u17b6\u1793\u1780\u17b6\u179a\u179f\u1784\u17d2\u179f\u17d0\u1799\u1790\u17b6\u1798\u17b6\u1793\u1780\u17b6\u179a\u1794\u17d2\u179a\u17be\u1790\u17d2\u1793\u17b6\u17c6\u17a2\u17bc\u1795\u17d2\u1785\u17bc\u17a2\u17ca\u17b8\u178f\u179b\u17be\u179f\u1780\u1798\u17d2\u179a\u17b7\u178f\u17d4 Naloxone\u17d6 \u1780\u17b6\u179a\u200b\u1798\u17b6\u1793\u200b\u179f\u1798\u17b6\u1787\u17b7\u1780\u200b\u179f\u17a0\u1782\u1798\u1793\u17cd\u200b\u1791\u1791\u17bd\u179b\u200b\u1794\u17b6\u1793\u200b\u1780\u17b6\u179a\u200b\u1794\u178e\u17d2\u178f\u17bb\u17c7\u200b\u1794\u178e\u17d2\u178f\u17b6\u179b\u200b\u1780\u17d2\u1793\u17bb\u1784\u200b\u1780\u17b6\u179a\u200b\u1794\u17d2\u179a\u17be\u200b\u1793\u17b7\u1784\u200b\u1799\u1780 naloxone \u17a2\u17b6\u1785\u200b\u1787\u17bd\u1799\u200b\u179f\u1784\u17d2\u1782\u17d2\u179a\u17c4\u17c7\u200b\u1787\u17b8\u179c\u17b7\u178f\u17d4 \u179f\u17d2\u1793\u17be\u179f\u17bb\u17c6\u2026<\/p>","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"class_list":["post-3415","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Forms - Snohomish Overdose Prevention<\/title>\n<meta name=\"description\" content=\"Request naloxone training, access overdose prevention resources, and find support for carrying and using Narcan to help save lives.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/snohomishoverdoseprevention.com\/km\/forms\/\" \/>\n<meta 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