This resource is for residents of the following counties in New York State: Ulster, Dutchess, Orange, Sullivan, and Westchesterwho have watched one of the pre-recorded training videos. This is not the registration form for the monthly Zoom training sessions.
Thank you watching the pre-recorded Narcan training video. Please complete this form in order to ensure delivery or pick-up of your free Narcan kit. If you live in New Paltz (12561), one of the surrounding townships, or within an area where we have volunteers who can deliver, your kit will be dropped off at the physical address you provide below. If we are unable to deliver in-person, a kit will be mailed to you (for residents within the Mid-Hudson Valley Region of New York). Please make sure the home address provided above is correct. Thank you! If you
Name
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First Name
Last Name
Email Address
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Physical Address (No PO Box)
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City
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Mailing Address (for postal delivery)
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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If you prefer to pick up your kit, please choose one of our current sites
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Family of New Paltz: 51 North Chestnut Street, New Paltz. Call ahead at 255-07957.
New Paltz Community Center: 3 Veterans Drive, New Paltz. Call ahead at 275-5413.
New Paltz Police Department: 59 North Putt Corners Road, New Paltz
New Paltz Rescue: 74 North Putt Corners Road, New Paltz. Call 255-1719.
Family of Woodstock: 16 Rock City Road, Woodstock, Everyday, 10 am to 9 pm. Call first at 679-2485.
Hudson Valley Community Service: Elmendorf Street between Broadway & Tremper, Kingston, Tuesday 1:00- 3:00
Ulster County Sheriff's Office ORACLE: Call first at 888-996-0940.
Would you like Fentanyl test strips delivered with your Narcan kit?
Yes
No
Would you like information about any of the following harm reduction resources?
Safe Use Kit
Safe Sex Kit
Syringe Access Program
How did you hear about this resource?
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Next Steps: PLEASE NOTE: The person who monitors this is out of the office until August 25th. Your oders will be filled at that time. If you live in New Paltz, one of the surrounding townships, or within an area where we have volunteers who can deliver, your kit will be dropped off at the physical address you provided above. If we are unable to deliver in-person, a kit will be mailed to you. Please make sure the home address provided above is correct and within our service area. Thank you!
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