Thrive for Change Waitlist: Application for FREE Harm Reduction Supplies by Mail

  • Thrive for Change Waitlist: Application for FREE Harm Reduction Supplies by Mail

    Starting May 5th, 2026 all new applications will be waitlisted due to high demand. We will reach out to you if and when we can accept your application. If you are not looking to receive syringes and or glassware, please do not complete this application | If you just need narcan & fentanyl test strips, please go to the "get naloxone" under the "get supplies" button.

  • Hello! This is Thrive for Change’s online and mail-based harm reduction program. We believe that all people deserve access to the tools they need to keep themselves safe and well. 

    If you are a person who uses drugs in Ohio and do not live near a pre-existing harm reduction program or cannot purchase supplies online, please fill out this application form. If you live near a pre-existing syringe access program, we’ll let you know about those in-person opportunities. 

    [ODH Dashboard, choose "Syringe Service Program" under "Select a Site Type."]

    After your application is complete, you will receive an email with the ordering form, where you can order injection supplies, including syringes, and smoking supplies. 

    We cannot provide supplies for secondary distribution - community orgs or individuals - through this program. If you know people who are in need of supplies, please ask them to complete their own application. 

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    If you have already filled out this form and received a package of syringe and other harm reduction supplies from us, do not fill this out again.

    Instead, contact us! Email us at thrive4change@proton.me or call/text (216) 598-5647. If you have received ONLY naloxone from us in the past, please continue filling out this form.
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    If you are ONLY looking for naloxone / Narcan, go to Thrive for Change Mail Based Narcan & Test Strips. Do not fill out this form.

  • Step 1: Please create a handle (a made up name)

    Do NOT use your real name. It must be at least 6 characters long and contain no spaces or special characters.

    Ensure the handle is one you'll remember and write it down — you will need in the future to place orders for supplies.

    Avoid using your real name or a Twitter/Instagram username. Your handle should not be linked to you in any way.

    We will not accept racist / white supremacist handles.

    Handle Examples: SoccerFan222, I_Love_Dogs

    Please do not use any variation on John/Jane Doe or Joe Schmoe.

  • Step 2: Demographic Information

    The following information helps us understand the impact of our program and identify any gaps in those we are serving.

  • Date of Birth:*
     - -
  • What is your race / ethnicity? Select all that apply.*
  • Are you transgender?*
  • Describe your gender identity. Select all that apply.*
  • Describe your sexual orientation*

  • Application Questions

    The following questions are designed to assess your harm reduction needs
  • What type of supplies are you looking for?*

  • If you are only looking for naloxone or fentanyl test strips please go to thrive4change.org/ordersupplies.

  • What drugs have you used in the past 30 days? Select all that apply.*
  • About how many times per day do you inject?*
  • How often have you shared smoking supplies / glassware with another person in the past month?*
  • What is your housing situation?*
  • Have you overdose in the last 12 months?*
  • Have you witnessed someone overdose in the last 12 months?*
  • Have you received testing services for any of the following in the last 6 months?*
  • Are you connected to and receiving any insurance or public benefits? (select all that apply)*

  • Final Steps

    This contact information will be used to reach out to you with questions about your application and to send you the order form if your application is approved.
  • How do you wish to be contacted?*

  • ERROR EMAILS DO NOT MATCH
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  • ERROR PHONE NUMBERS DO NOT MATCH
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  • Where did you find out about Thrive for Change Mail Based Syringe Program?*
  • Should be Empty: