Free Supplies Order

Order Form - Overdose Prevention Supplies

Naloxone and Sexual health kits
Please use this form to request free Narcan or sexual health kits for pickup at our office. Pickup details will be emailed to you automatically once you submit the form.

For any questions or concerns, please contact staff directly at info@sacopioidcoalition.org. All kits come with handouts and education to access treatment and recovery resources.

All are welcome to pickup supplies with no questions asked. Put N/A under name and email address if you don't wish to share.

Harm Reduction Services of Sacramento and SANE of Sacramento provide walk-in overdose prevention supplies and other supports to promote health, well-being, and dignity for those who use drugs. Check them out at hrssac.org and staysafer.org
First Name
Last Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Are you associated with an organization or professional entity?
What items would you like to pickup?
How many naloxone kits or boxes would you like?
How many sexual health kits would you like?
Please note that due to limited supply, sexual health kits are limited to 15 per order
If request is larger than 100-300 kits, please specify below how many you would like:
Would you like to talk to a staff member for a short naloxone training or to discuss treatment resources?
When would you like to pick up the supplies?
Should be Empty:

Order Form - Overdose Prevention Supplies