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Harm Reduction Supply Order for Pharmacies

ALL PHARMACIES MUST PLACE ORDERS ON MONDAYS BY THE END OF THE DAY - ALL ORDERS NOT PLACED BY THEN CANNOT BE GUARANTEED DELIVERY UNTIL THE NEXT WEEK.
Pharmacies must be preauthorized by KFL&A Public Health to order harm reduction supplies using this form.
Harm reduction supplies have expiry dates. Remember to rotate your stock. Distribute oldest stock before the stock from this order.

Name of agency or organization

Name

Phone number

E-mail address

Address

Delivery instructions (e.g. ring buzzer, location for drop off, hours)

I need

Safer Drug Use Kits

Educational resources