(814) 724-4100

Mon-Thurs 8am-9pm • Fri 8-4:30pm

24 Hour Drug & Alcohol Crisis Toll-Free 844-6-HELPNOW (844-643-57669)

24 Hour Mental Health Crisis Hotline (814) 724-2732

Toll-Free (888) 275-7009

Request Free NARCAN®

SAVE A LIFE
Request a FREE Naloxone kit today!

Residents of Crawford County can request a free Naloxone kit with two doses of lifesaving NARCAN® nasal spray.

If you reside outside of Crawford County, please click here to request NARCAN® by mail.

To request your kit:

1. Watch the NARCAN® training video. Check the box below you have completed the video. If you are ordering a refill and have already watched the video, you can simply check the box and move on to the form.

2. Complete the form with your mailing information. Your personal information will be kept strictly confidential, and your kit will be mailed to you in plain packaging. Given recent delays in deliveries by the U.S. Postal Service, please be patient.

This program is sponsored by Crawford County Drug & Alcohol Executive Commission, Inc. as a community service and is funded with a Rural Communities Opioid Response Program grant from the Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services. Neither Crawford County Drug & Alcohol Executive Commission nor HRSA are affiliated with any pharmacy or pharmaceutical company.

If you would like additional information or resources, please contact Julia Covert at jcovert@ccdaec.org.

Please Complete Our NARCAN® Request Form

    Have you watched the video above?
    NoYes


    Name (required)

    Email (required)

    Address (required)

    City (required)

    State (required)

    Zip (required)


    Is this Naloxone intended for someone inside or outside your household?
    InsideOutside


    Are you requesting Naloxone because you are concerned for a friend or family member?
    YesNo


    Other Questions or Comments