Bulk Order - END OVERDOSE Certification

Who are you?

Please complete the following order form to order naloxone from End Overdose. Duplicate addresses will not be filled, or any suspicious orders. All orders are 100% free and shipped to the provided address at no cost.

E-Mail

First & Last Name

Phone Number

Where should it go?

This form is only for Arkansas orders.

Organization/Business Name

Mailing Address

State

Tell us about the work

Please describe your organization

Please describe how naloxone will be used

Is this for a naloxone distribution cabinet / vending machine?

YesNo

What do you need?

Naloxone is required. Add anything else that would help.

Naloxone Doses

Fentanyl Test Strips

Brochure/ Info Cards

Pamphlets

Note on Naloxone:

Doses may come individually packaged or in boxes containing 2 individually wrapped single-use doses. All doses are intranasal sprays. Current research shows doses are still effective for up to 30 years after their listed expiration date.

Free training

End Overdose provides free online overdose response training and certification at EndOverdose.net. The training is available at no cost to all Arkansas residents, and after completing the training, participants can have additional naloxone mailed directly to them at no charge.

Will you commit to sharing this free training with your staff, students, members, employees, patrons, or others you serve?

Yes — I will share the free training No — Not at this time

Are you interested in receiving more information on End Overdose's free training services?

YesNo

Are you interested in any of the following:

Collaborative social media posts with @endoverdose.arkansas Being featured in the End Overdose blog Donating to End Overdose Helping promote End Overdose fundraising initiatives

Check it over

Especially the address — this is where the naloxone is mailed.

Please allow 14-21 days to fulfill your order. If you have not heard from us in 21 days email destiny@endoverdose.net.