W.I.L Narcan Order Form Logo
  • W.I.L Narcan Order Form

    (1 Narcan kit is 2 Single-Dose Nasal Spray Devices; 1 Narcan case is 12 kits)
  • Behavioral Health Services Division (BHSD) Office of Substance AbusePrevention (OSAP) Request for Naloxone Form

    This request is to receive naloxone nasal spray for distribution and to administer to overdose victims. Orders are madein increments of 12 with a minimal order of 12 kits. Email completed form to: womeninleadership.wil@gmail.com
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  • For Questions Regarding Replacing Expired Narcan

    Contact Stacy Burleson at 505-369-1731 womeninleadership.wil@gmail.com
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