Harm Reduction Supply Order Form

ORDER TODAY

The Erie County Department of Health (ECDOH) Opioid Program has several FREE items available to you!

Use this form to order the supplies you would like. Please allow 5-7 business days for orders to be processed.

For additional information or questions, please call 716-858-7695.

First Name

Last Name

Address

City/Town

State

ZIP Code

Confirm email

Fentanyl Test Strips (10 strips per pack)

Number of Fentanyl Test Strip Packs

Xylazine Test Strips (10 strips per pack)

Number of Xylazine Test Strip Packs

Narcan/Naloxone (1 kit)

Number of Narcan/Naloxone Kits

Your name and personal information will not be sold or used outside of the purpose of sending harm reduction supplies and related instructions.