Kit Request

Email

This will help SRHN contact you if there are issues fulfilling your request, but is not required.

Thank you so much! Please complete and submit this form first; you will then be prompted to finalize your donation.

Greater Minnesota Mailer Program Eligibility

Stearns County Mailer Program Eligibility

Washington County Mailer Program Eligibility

Ramsey County Mailer Program Eligibility

Ramsey County Program

Ramsey County is offering additional naloxone support. Your responses are confidential and helps us distribute resources where they’re most needed.

Racial/Ethnic Identity

To receive a nasal naloxone kit from Ramsey County Public Health, you must complete a naloxone training. Please choose one of the available options below:

If you would prefer to receive an intramuscular (IM) naloxone kit today without completing a training, please change your selection above and submit this form.

Request a Mailed Kit

Ramsey County Program