If you have recently used or administered Naloxone to attempt to reverse an opioid overdose, please fill out as much information as possible.

 

There is no penalty, repercussion, or liability for reporting. Reporting is anonymous and voluntary.

Naloxone can save lives!  If you need more naloxone, please visit your nearest Canyonlands Healthcare medical clinic below, or email:  naloxone@cchcaz.org to request more and arrange for a pickup.

Naloxone can be picked up at any of these Canyonlands locations:

Safford (NOT INTEGRATED)
2016 W 16th St, Safford, AZ 85546
928-428-1500  Ask for Samantha Ext 3316
Or Email: Naloxone@cchcaz.org

Globe
5860 South, N Hospital Dr #102, Globe, AZ 85501
928-428- 1500   Ask for Samantha Ext 3316
Or Email: Naloxone@cchcaz.org

Beaver Dam
3272 E. Rio Virgin Road, Littlefield, AZ 86432
928-347-5971 Ask for Yesenia Ext 3102
Or Email: Naloxone@cchcaz.org

Lake Powell Medical Center Pharmacy
467 Vista Ave, Page, AZ 8604
928-645-6620
Or Email: Naloxone@cchcaz.org