Request your free naloxone

This form takes about a minute. We only ask for what we need to get naloxone to you, and your personal information will stay private.

What’s inside

  • 2 boxes of nasal spray naloxone (4 doses total)
  • A simple, step-by-step guide for how to use it
  • A QR code that links to an optional, anonymous survey

Mailing details

This service can only mail to Oregon addresses and PO boxes.

Mailing label

Enter the recipient name that should appear on the package.

Oregon address

Start typing and choose a suggested Oregon address or enter it manually.

What we will ship

Your package will arrive in a plain envelope with no information on it except the shipping address. Nothing on the outside indicates what’s inside.