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Photo of the publication cover. Overdose Prevention and Education and Syringe Service Program Registration Form Harm Reduction - Form July 26, 2017

Use this form to register for the overdose prevention and education and syringe exchange program.



Photo of the publication cover. Harm Reduction and Hepatitis Monthly Report Cover Sheet Harm Reduction - Form July 5, 2017

This is the monthly report cover sheet for the harm reduction and hepatitis program.



Photo of the publication cover. Naloxone Inventory and Order Form Harm Reduction - Form July 5, 2017

Use this form to manage inventory and orders of naloxone.



Photo of the publication cover. Naloxone Enrollment and Record of Use Form Harm Reduction - Form July 5, 2017

Use this form to enroll and record use of naloxone.



Photo of the publication cover. Syringe Service Enrollment and Daily Log Form Combined Harm Reduction - Form July 5, 2017

Combined syringe service enrollment and daily log forms.



Photo of the publication cover. Syringe Services Interview Form Harm Reduction - Form January 31, 2017

Use this form for syringe services interviews.



Photo of the publication cover. Naloxone Medication Log for Secure Designated Storage Location – Sample Harm Reduction - Form January 19, 2017

This an example of how to complete the log (required by regulation) tracking naloxone medication.



Photo of the publication cover. Naloxone Medication Log for Secure Designated Storage Location Harm Reduction - Form January 19, 2017

This is a log (required by regulation) tracking naloxone medication.



Photo of the publication cover. Syringe Services Daily Log Form Harm Reduction - Form June 24, 2016

Use this form to log syringe services.