Today Y-M-D
Is this form being completed by Overdose Prevention & Response Staff?
Yes
No
Do you need for resources for ....?
Are you looking for resources for ....?
Yourself, a friend, or family member? A workplace, agency, or community group? Yourself, a friend, or family member?
A workplace, agency, or community group?
Pick up free naloxone and fentanyl test strips at a vending machine Visit one of five confidential vending machines in King County to receive free naloxone (also known as "Narcan"), fentanyl test strips, as well as condoms, and other safer sex supplies. Click here for more information about vending machines .
Peer Seattle : 1520 Bellevue Ave STE 100 Seattle WA 98122 , Hours: Mon-Sun 9am-9pmPeer Kent: 216 W Gowe St, STE 300 Kent, WA 98032 , Hours: Mon-Fri 9am-7pm & Sat-Sun 11am-7pm Compass Day Center: 210 Alaskan Way S, Seattle, WA 98104 , Hours : Mon-Fri 9am-4pmYouthCare Orion Center (open for all youth 24 and under): 1828 Yale Ave, Seattle, WA 98101 , Hours: Mon-Fri 10am-6pmMaleng Regional Justice Center: 620 W James St, 2nd Floor, Detention Center, Kent, WA 98032 , Hours: Mon-Sun 6am-10pm
Other ways to access free naloxone Naloxone (also known as "Narcan") is an opioid blocker that can reverse opioid overdose within minutes. You do not need a prescription to receive naloxone.
If you HAVE health insurance, please request naloxone at your local pharmacy. Many insurance carriers cover the full cost.
If you DO NOT have insurance or have other barriers, click here to order a free kit through the mail from the Peoples Harm Reduction Alliance.
Other ways to access free fentanyl test strips Fentanyl test strips can detect the presence of fentanyl in urine or in a diluted drug sample.
Fentanyl test strips can be mailed to King County addresses, though it may take up to 2 weeks for delivery.
Would you like to receive 5 fentanyl test strips via mail? (This service is only available to King County residents. Please allow up to 2 weeks for delivery.)
Yes No
Paid Research Opportunity Public Health - Seattle & King County is conducting a study about drug use behaviors to inform its overdose prevention programs. People who complete a 60-minute, confidential interview are given a $45 gift card. To learn more about the study go to KingCounty.gov/GetHeard
Training or Outreach Would you like to request training or other community education/outreach?
Training or Community Outreach Would you like to request training or other community education/outreach?
Yes No Supplies
After you select "Submit" at the bottom of the page, you will be asked additional questions about the training/outreach request.
To help route your request to the right team, please indicate the types of supplies needed:
For Workplace: Posters Nasal naloxone For Distribution: Postcards Fentanyl test strips
Nasal Naloxone Naloxone (also known as "Narcan") is an opioid blocker that can reverse opioid overdose within minutes.
If your workplace needs nasal naloxone kits to ensure that employees/volunteers are equipped to respond to overdoses that occur at worksite, go to the DCHS Naloxone Portal .
Naloxone Naloxone (also known as "Narcan") is an opioid blocker that can reverse opioid overdose within minutes.
Would you like to request naloxone for your agency?
Please note: If you have already completed an intake and received naloxone from Public Health's Supply Clearinghouse, please select 'No'. You can request more naloxone through the personalized link sent to you via email. If you have not received naloxone from Public Health before, please select 'Yes' below and you will receive an email to schedule an initial meeting to assess your organization's naloxone need.
Would you like to request naloxone for your agency?
Yes No
Thanks for your interest in naloxone! Please complete the remainder of this form and click "SUBMIT" at the bottom of the page. Then you will be prompted to enter your contact information. Within 1-2 business day, you will receive an email to set up a time to discuss your naloxone request with our team.
Fentanyl Test Strips Fentanyl test strips can detect the presence of fentanyl in urine or in a diluted drug sample.
How many fentanyl test strips would your agency like to receive in order to distribute to clients?
Print Materials Posters (11X17) - Click on image to download PDF
# needed in English:
# needed in Spanish:
# needed in English:
# needed in English:
Handouts (8.5 X 11) - Click on image to download PDF
To order copies of this handout go to the ADAI Clearinghouse .
To print copies of this handout go to StopOverdose.org
# needed in English:
# needed in Spanish:
Stickers (approximately 3X2)
# needed in English:
# needed in Spanish:
# needed in English:
# needed in Spanish:
# needed in Eng lish:
# needed in Spanish:
# needed in English:
# needed in Spanish:
Postcards (4 X 6) & Wallet Cards (3.5X2)
Postcards (4x6)
# needed in English:
# needed in Spanish:
Wallet cards (3.5x2)
# needed in English:
# needed in Spanish:
Postcards (4x6)
# needed in English:
Wallet cards (3.5x2)
# needed in English:
Sorry, we are unable to fill orders this large. We will send what you requested but reduce the number to our maximum for each item (50 per poster, 100 per postcard, 150 per sticker ). If you have circumstances for why you need larger quantities, please explain them here:
Do you need handouts (size 8.5 X 11) or postcards (4 X 6) in Amharic, Chinese (Traditional), Dari, Marshallese, Russian, Somali or Vietnamese?
Yes
No
Once you click submit you'll be taken to the next page to request materials in these languages and then provide your mailing information.
Does something need to be mailed to fulfill this request?
View equation
"Fentanyl is Killing King County Residents" Poster
Number of ""Fentanyl is Killing King County Residents" posters in English requested:
Number of "Fentanyl is Killing King County Residents" posters in Spanish requested:
! Next steps ! Click the "SUBMIT " button. If you see black space, then scroll up to the top of the page.
Fentanyl Test Strips Fentanyl test strips can detect the presence of fentanyl in urine or in a diluted drug sample.
How many fentanyl test strips would your agency like to receive in order to distribute to clients?
0 50 100 200 Other (specify # requested below)
Please request what you need for 1-2 months.
Please enter the number of strips your agency would like to order.
The amount you receive may be less than requested based on supply and community need.
Calculated field - # of fts ordered
View equation Injectable Naloxone for Distribution Naloxone (also known as "Narcan") is an opioid blocker that can reverse opioid overdose within minutes.
Agencies wishing to distribute injectable naloxone to persons at risk for overdose can order up to 50 intramuscular (IM) naloxone kits per month from the Hepatitis Education Project .
How many injectable naloxone kits would your agency like to receive in order to distribute to clients?
* must provide value
50
100
150
200
Other
Please limit to amount your agency can distribute within 1-2 months.
Please enter the number of injectable naloxone your agency would like to order. If greater than 200, please explain your distribution plans.
* must provide value
Number of "Signs of Overdose" posters in English requested:
Number of ""White Powder" posters in English requested:
Number of "Narcan Saves Lives" posters in English requested:
Number of "Narcan Saves Lives" posters in Spanish requested:
Number of "Don't be Faked Out" posters in English requested:
Number of "Don't be Faked Out" posters in Spanish requested:
Number of Xylazine posters in English requested:
Number of "The Risk is Real" posters in English requested:
Number of "Step Up Against Fentanyl" posters in English requested:
Number of "Fentanyl Informationl" posters in English requested:
Number of Fentanyl Takes Lives posters in English
Number of Overdose Signs and Response Posters in English
Number of Overdose Signs and Response 8.5X11 Handout in English
Number of Overdose Signs and Response 8.5X11 Handout in Spanish
Sticker 1: Number of "Never Use Alone" stickers requested
Sticker 2: Number of "Laced & Lethal" stickers requested
Sticker 3: Number of "I Carry Naloxone" stickers requested
Youth Sticker 1: Number of "Friends Don't Let Friends Use Alone" stickers requested:
Youth Sticker 2: Number of "I Carry Naloxone" stickers requested:
Youth Sticker 3: Number of "Laced & Lethal" stickers requested:
# of I carry naloxone sticker - English
# of I carry naloxone sticker - Spanish
# of L&L Never Use Alone - English
# of L&L Never Use Alone - Spanish
# of L&L Naloxone Saves - English
# of L&L Naloxone Saves - Spanish
Number of postcards in English requested:
Number of postcards in Spanish requested:
Number of postcards in English requested:
Number of postcards in Spanish requested:
Number of postcards in English requested (Narcan Saves Lives/Never Let Someone Sleep it Off):
Number of postcards in Spanish requested (Narcan Saves Lives/Never Let Someone Sleep it Off):
# of bup hotline postcards (English)
# of bup hotline postcards (Spanish)
# of bup hotline posters (English)
# of bup poster (Spanish)
# of bup hotline stickers (English)
# of bup hotline stickers (Spanish)
# of opioid signs and response postcards
# of opioid signs and response wallet cards
# of bupe hotline wallet cards english
# of bupe hotline wallet cards - spanish
Handout 1: Number of handouts in English requested:
Handout 2: Number of handouts in English requested: