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Reversals
Please enter the reversal information below, your information is vital and helps us save lives!
Name
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Email Address
Approximate age of person who was revived
*
City reversal took place
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Zip code reversal took place
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Number of doses used
*
Date of reversal
*
What kind of Naloxone was used?
Naloxone from end overdose was used.
Naloxone from a different program was used.
Submit Reversal