Report a Naloxone Reversal | The Robin Foundation

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Report a Naloxone (Narcan) Reversal

If you used Narcan (naloxone) to reverse a suspected opioid overdose, thank you.

First Name *

Last Name *

Email Address *

Telephone: *

Street Address *

Address 2

City

State/Province

ZIP / Postal Code

Country

Date of Reversal *

Did you use Narcan distributed by the Robin Foundation? *YesNoNot sure

Location of the Reversal *

Who received the Narcan? *

Other

Was the overdose reversed successfully? *YesNoNot sure

Number of Narcan doses used *1234+

Was 911 or emergency medical help called? *

How long did it take for EMS to arrive: Was additional Narcan administered:

Any additional details you'd like to share?

Would you like to request a replacement Narcan kit? *

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Davie Fl

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