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Naloxone Distribution Program Eligibility Application

Thank you for your interest in naloxone distribution.  In order to participate in the Ontario Naloxone Program, your organization must meet specific eligibility criteria. Once you complete this application, a representative from Durham Region Health Department will contact you.

Agency contact information:

What geographical area(s) does your agency serve?
Does your agency reach difficult to reach (priority) populations where there is known drug use/opioid activity?
Does your agency work directly with populations at risk of opioid overdose?
Has your agency had requests for naloxone?
Does your organization have adequate staffing capacity, storage space)
Can your agency commit to collecting regular data and reporting back to Durham Region Health Department on a monthly basis?
Does your agency have WSIB or private insurance?


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