Safe Home Kit
The Safe Home Kit helps parents and caregivers be ready for the moments that matter most. Each kit includes naloxone, a CPR rescue mask, and easy-to-understand education to recognize and respond to an overdose or emergency—because protecting our youth starts at home.
Age
Name (If you wish to remain anonymous please put "Current Resident"
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tribal Affiliation if applicable
*
If you know of any overdose reversal that was made with TOR Narcan please list the zip code of the Overdose Reversal as well as how many doses of Narcan they received.
Have you identified fentanyl in a substance using fentanyl provided by TOR?
Yes
No
Have you identified Xylazine in a substance using Xylazine test kits provided by TOR?
Yes
No
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Social Media
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Flyer
Outreach
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