This form allows the Community Health Education and Resiliency Program to take and keep track of requests for Narcan and Fentanyl Test Strips. If you'd like us to mail you supplies, please fill out the below form in its entirety. The information you provide helps us to better serve the community and helps with our grant funding, so the more information the better.
Due to state regulations, we are only able to provide supplies to individuals residing in New Mexico, at this time. If you have any questions, please feel free to contact:
Lee Torres, COIPP Program Coordinator (They/Them) firstname.lastname@example.org
Savannah Gene, Program Director (She/Her/Hers) email@example.com
Kurt Begaye, Capacity Building Specialist (He/Him/His) firstname.lastname@example.org